Mengistu Yemane MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

38234 Issued in KY

Legal business name

MENGISTU YEMANE MD PLLC

Practice address

30 Tower Cir
Somerset, KY 42503-3476

Phone

(606) 451-8644

Fax

(606) 451-9644

NPI assigned

Sep 12, 2007

Organization subpart

No

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

Authorized official

Name

Mengistu Yemane, M.D.

Title

Dr/ President

Phone

(606) 451-8644

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1275728289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 TOWER CIR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033476",
            "telephone_number": "606-451-8644",
            "fax_number": "606-451-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 TOWER CIR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033476",
            "telephone_number": "606-451-8644",
            "fax_number": "606-451-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENGISTU YEMANE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "YEMANE",
        "authorized_official_first_name": "MENGISTU",
        "authorized_official_title_or_position": "DR/ PRESIDENT",
        "authorized_official_telephone_number": "606-451-8644",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "38234",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4821P",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MDC",
            "identifier": "DH2005",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64066574",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaclyn E Meece, LPCC-S
• Lori Meece, PT
• Ashley Meeks, BCBA, LBA
• Daniel Carl Melear, PH.D., LPCC-S, NCC
• Penny Melgoza, LPCA
• Aaron T Meriwether, LPCC
• Emily E Merrick, D.M.D
• Haley Margaret Merrick, RDN
• Kimberly Meyer, MSNARNP
• Cara Blake Middleton, PHARMD

• Internal Medicine Physician in Somerset, KY
• Providers in Somerset, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.