Organization Active NPI

Michael D. Yates, MD, PC

  • Plastic and Reconstructive Surgery Physician
  • Huntsville, AL
National Provider Identifier
1245456805
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
15293 Issued in AL
Legal business name
MICHAEL D. YATES, MD, PC
Practice address
303 Williams Av SW
Suite 1421
Huntsville, AL 35801-6008
Phone
(256) 536-4448
Fax
(256) 533-4583
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
Michael D Yates, MDNPI 1265483200
Title
President
Phone
(256) 536-4448

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
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 15293 AL Primary

Addresses

Primary practice location

303 Williams Av SW
Suite 1421
Huntsville, AL 35801-6008

Mailing address

303 Williams Av SW
Suite 1421
Huntsville, AL 35801-6008
Phone (256) 536-4448

Other identifiers 1

IdentifierTypeStateIssuer
000082255MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080909000110 AL Part B Supplier - Clinic/Group Practice 5294801643 Receives reassigned benefits from 1 practitioner
Practice locations: Huntsville, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1245456805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 WILLIAMS AV SW",
            "address_2": "SUITE 1421",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016008",
            "telephone_number": "256-536-4448",
            "fax_number": "256-533-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 WILLIAMS AV SW",
            "address_2": "SUITE 1421",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016008",
            "telephone_number": "256-536-4448",
            "fax_number": "256-533-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. YATES, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-536-4448",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AL",
            "license": "15293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000082255",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.