Active NPI
Yasemen Eroglu, MD
- Pediatric Gastroenterology Physician
- Iowa City, IA
National Provider Identifier
1205841707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- MD-46555
- Practice address
- 200 Hawkins Dr
Iowa City, IA 52242 - Phone
- (319) 356-2950
- Fax
- (319) 353-8967
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD-46555 | IA | |
| Pediatric Gastroenterology Physician | 2080P0206X | MD-46555 | IA | Primary |
| Pediatric Gastroenterology Physician | 2080P0206X | MD24717 | OR |
Addresses
Primary practice location
200 Hawkins Dr
Iowa City, IA 52242
Mailing address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-2950
Other practice location 1
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-1078
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 297492 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-46555 | IA | MD | Pediatrics Physician |
Interoperability endpoints
- yeroglu169980@uihcdirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1205841707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-356-2950",
"fax_number": "319-353-8967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52242",
"telephone_number": "319-356-2950",
"fax_number": "319-353-8967"
}
],
"practiceLocations": [
{
"address_1": "3181 SW Sam Jackson Park Rd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972393011",
"country_code": "US",
"telephone_number": "503-494-1078",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EROGLU",
"first_name": "YASEMEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "MD-46555",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "IA",
"license": "MD-46555",
"primary": true
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "OR",
"license": "MD24717",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "297492",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.