Active NPI
Gary E Yochim, DO
- Obstetrics & Gynecology Physician
- Leitchfield, KY
National Provider Identifier
1275537029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 02348
- Practice address
- 910 Wallace Ave
Ste 301
Leitchfield, KY 42754-1418 - Phone
- (270) 259-9651
- NPI assigned
- Jun 9, 2005
- Last updated
- Apr 21, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 02348 | KY | Primary |
Addresses
Primary practice location
910 Wallace Ave
Ste 301
Leitchfield, KY 42754-1418
Mailing address
910 Wallace Ave
Ste 301
Leitchfield, KY 42754-1418
Phone (270) 259-9651
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1055548 | Other | KY | PASSPORT |
| 000000245561 | Other | KY | ANTHEM |
| 2433779000 | Other | KY | PASSPORT ADVANTAGE |
| 64023484 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin Lakes Medical Foundation Inc | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nurse Practitioner
- Leitchfield, KY
- NPI 1205870862
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208736000000",
"number": "1275537029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 WALLACE AVE",
"address_2": "STE 301",
"city": "LEITCHFIELD",
"state": "KY",
"postal_code": "427541418",
"telephone_number": "270-259-9651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 WALLACE AVE",
"address_2": "STE 301",
"city": "LEITCHFIELD",
"state": "KY",
"postal_code": "427541418",
"telephone_number": "270-259-9651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOCHIM",
"first_name": "GARY",
"middle_name": "E",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2008-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": "02348",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "1055548",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000245561",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "2433779000",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64023484",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Leitchfield, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.