Tae Sik Yook, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

033152 Issued in MI

Practice address

15855 West 19 Mile Rd
St Josephs Medical Center
Clinton TWP, MI 48038

Phone

(586) 263-2300

Fax

(586) 263-2595

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• H McDonald MD, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Port Huron, MI
  • NPI 1174505069
  NPD (past)
• Northwest Pathology Consultants PC

  • Oral and Maxillofacial Pathology Dentistry
  • Pontiac, MI
  • NPI 1659082402

  Anatomic Pathology & Clinical Pathology

  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225065089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55 114",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48255",
            "telephone_number": "248-858-3197",
            "fax_number": "248-858-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15855 WEST 19 MILE RD",
            "address_2": "ST JOSEPHS MEDICAL CENTER",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-263-2300",
            "fax_number": "586-263-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOOK",
        "first_name": "TAE",
        "middle_name": "SIK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "033152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4837156",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "2206352931",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Wundrach, PA-C
• Elizabeth Wynne
• Amjad M Yaish, D.O.
• Linda R Yaldo, CM
• Jennifer Yelizarov, PA
• You Matter Therapy Solutions Inc
• Brian Young
• Kyle Young
• Ramiz Yousif, PHARMD
• Kathryn M Zabik, MA, LPC, NCC

• Anatomic Pathology & Clinical Pathology Physician in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Anatomic Pathology & Clinical Pathology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.