Yukon Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MD26524 Issued in TN

Legal business name

YUKON CLINIC

Practice address

1355 W Brierbrook Rd
Germantown, TN 38138-2208

Phone

(901) 755-8300

Fax

(901) 755-7568

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles Laurence Yukon, M.D.

Title

Physician Owner

Phone

(901) 755-8300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225245814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 W BRIERBROOK RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382208",
            "telephone_number": "901-755-8300",
            "fax_number": "901-755-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 W BRIERBROOK RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382208",
            "telephone_number": "901-755-8300",
            "fax_number": "901-755-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUKON CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YUKON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "LAURENCE",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "901-755-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TN",
            "license": "MD26524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sitra Yonis, DNP, FNP-C
• Ziad Hanna Younes, M.D.
• Lisa Jackson Young, M.D.
• Melissa Diane Young
• Patricia Leeann Youngblood, AUD
• Charles Laurence Yukon, MD
• Elizabeth Diane Zacher, FNP-C
• Haris Zafarullah, M.D.
• Steven Zambrano, D.D.S.
• Page Zanella, PT, DPT

• Clinic/Center in Germantown, TN
• Providers in Germantown, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.