Organization Active NPI

John F Yee, MD, PC

  • General Practice Physician
  • Everett, MA
National Provider Identifier
1215148275
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
JOHN F YEE, MD, PC
Practice address
596 Broadway
Everett, MA 02149-3743
Phone
(617) 387-3330
Fax
(617) 387-0827
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John F Yee, MDNPI 1407810856
Title
Owner
Phone
(617) 387-3330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

596 Broadway
Everett, MA 02149-3743

Mailing address

596 Broadway
Everett, MA 02149-3743
Phone (617) 387-3330

Other identifiers 3

IdentifierTypeStateIssuer
703418OtherMATUFTS
7668OtherMAHARVARD PILGRAM
9726829MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050215000837 MA Part B Supplier - Clinic/Group Practice 1153373477 Receives reassigned benefits from 3 practitioners
Practice locations: Medford, MA

National Provider Directory

National Provider Directory

Locations

596 Broadway
Everett, MA 02149
Phone (617) 387-3330

75 Riverside Ave
Medford, MA 02155
Phone (781) 396-6221

Interoperability endpoints

  • Direct secure messaging: yee.john.jfymd@direct.partners.masshiway.net
  • Direct secure messaging: staffier.andrew.jfymd@direct.partners.masshiway.net

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1215148275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 BROADWAY",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493743",
            "telephone_number": "617-387-3330",
            "fax_number": "617-387-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 BROADWAY",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493743",
            "telephone_number": "617-387-3330",
            "fax_number": "617-387-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F YEE, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "YEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-387-3330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "703418",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRAM",
            "identifier": "7668",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9726829",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.