Active NPI
Leon Jay Yoder, DO
- Gastroenterology Physician
- Wagoner, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 1728
- Practice address
- 1202 W Cherokee St Ste C
Wagoner, OK 74467-4629 - Phone
- (918) 485-1205
- Fax
- (918) 485-1695
- NPI assigned
- Oct 3, 2005
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 1728 | OK | Primary |
Addresses
Primary practice location
1202 W Cherokee St Ste C
Wagoner, OK 74467-4629
Mailing address
1200 W Cherokee St
Wagoner, OK 74467-4624
Phone (918) 485-1205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 W Cherokee St
Wagoner, OK 74467-4624
Phone (918) 485-5514
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 13 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1728 | OK | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wagoner Hospital Authority | Current | Accepting new patients | |
| Wagoner Hospital Authority | Current | Accepting new patients |
Locations
1202 W Cherokee St
Ste C
Wagoner, OK 74467
Phone (918) 485-1205
1200 W Cherokee St
Wagoner, OK 74467
Phone (918) 485-1240
1202 W Cherokee St
Ste D
Wagoner, OK 74467
Phone (918) 485-0091
Interoperability endpoints
- leon.yoder.1@14254.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Wagoner, OK
- NPI 1386611580
-
- Rural Health Clinic/Center
- Wagoner, OK
- NPI 1366674772
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wagoner, OK
- NPI 1386611580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1285621482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W CHEROKEE ST",
"city": "WAGONER",
"state": "OK",
"postal_code": "744674624",
"telephone_number": "918-485-1205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 W CHEROKEE ST STE C",
"city": "WAGONER",
"state": "OK",
"postal_code": "744674629",
"telephone_number": "918-485-1205",
"fax_number": "918-485-1695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YODER",
"first_name": "LEON",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-03",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OK",
"license": "1728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wagoner, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.