Yidong Chen, MD
Individual provider Active NPI Emergency Medicine Physician · Canton, TX
NPI 1275980237 · NPPES record last updated Mar 23, 2021
Key facts
- NPI
- 1275980237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- S7407 (TX)
- Practice address
- 18780 Interstate 20
Canton, TX 75103-3593 - Phone
- (903) 567-7748
- NPI assigned
- May 19, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Texas Tech University Health Science Center School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Century Integrated Partners, Inc
Practice addresses (Care Compare)
3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-0111
Hospital & facility affiliations
- Baylor Scott and White Medical Center Lake Pointe
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190620000694 | AR | Practitioner - Emergency Medicine | 7719211036 | Reassigns benefits to 2 organizations |
| I20200831003112 | TX | Practitioner - Emergency Medicine | 7719211036 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37033 | OK | MD | Emergency Medicine Physician |
| MT210795 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shiloh Emergency Group PLLC | Emergency Medicine | Current |
Accepting new patients |
| Mother Frances Hospital Regional Health Care Center | Current |
Accepting new patients | |
| CHI St Vincent Hospital Hot Springs | Current |
Accepting new patients | |
| Mother Frances Hospital Jacksonville | Current |
Accepting new patients | |
| Century Integrated Partners, Inc | Emergency Medicine | Current |
Accepting new patients |
| CHI St Vincent Hospital Hot Springs | Emergency Medicine | Current |
Accepting new patients |
Locations
300 Werner St
Hot Springs National Park, AR 71913
Phone (501) 622-1000
2215 Wildwood Ave
Sherwood, AR 72120
Phone (501) 522-7100
3500 Gaston Ave
Dallas, TX 75246
757 E US Highway 80
Ste 150
Forney, TX 75126
Phone (469) 689-0770
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MT210795 | PA | |
| Emergency Medicine Physician | 207P00000X | E-12174 | AR | |
| Emergency Medicine Physician | 207P00000X | 37033 | OK | |
| Emergency Medicine Physician | 207P00000X | S7407 | TX | Yes |
Addresses
Primary practice location
18780 Interstate 20
Canton, TX 75103-3593
Mailing address
1001 S George St
York, PA 17403-3676
Other practice location 1
1001 S George St
York, PA 17403-3676
Phone (717) 851-2311
Other practice location 2
300 Werner St
Hot Springs, AR 71913-6406
Phone (501) 622-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q00022082 | Other | TX | RR MEDICARE |
Other providers in Canton, TX
- Cantonhealthcare Center
- Yan Cao
- Sherill Ann Pagdanganan Carreon
- Carry on Mobile Physical Therapy PLLC
- Valarie M Chambless
- Milind Ranjit Chinoy
- Sarah Elizabeth Chitty
- Christus Trinity Clinic Texas
- Joni Coker
- Belinda Sue Collier
All providers in Canton, TX · Emergency Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.