Active NPI
Lynn V. Yarborough, M.D.
- Family Medicine Physician
- Bowie, MD
National Provider Identifier
1265551592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D24754
- Practice address
- 2905 Mitchellville Road
Suite 106
Bowie, MD 20716-3953 - Phone
- (301) 218-8700
- Fax
- (301) 218-9200
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D24754 | MD | Primary |
Addresses
Primary practice location
2905 Mitchellville Road
Suite 106
Bowie, MD 20716-3953
Mailing address
P.O. Box 1257
Greenbelt, MD 20768-1257
Phone (301) 218-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4089502 | Other | MD | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120410000158 | DC | Practitioner - Family Practice | 3971764457 | Practice locations: Bowie, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Temple University School of Medicine, 1978
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2905 Mitchellville Rd
Suite 106
Bowie, MD 20716-3953
Phone (301) 218-8700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332806400000",
"number": "1265551592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1257",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207681257",
"telephone_number": "301-218-8700",
"fax_number": "301-218-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 MITCHELLVILLE ROAD",
"address_2": "SUITE 106",
"city": "BOWIE",
"state": "MD",
"postal_code": "207163953",
"telephone_number": "301-218-8700",
"fax_number": "301-218-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YARBOROUGH",
"first_name": "LYNN",
"middle_name": "V.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2012-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D24754",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4089502",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.