Robert Leonard Yelken, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2550 Issued in FL

Practice address

789 W Duval St
Lake City, FL 32055-3811

Phone

(386) 755-1546

Fax

(386) 755-2283

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Shands Teaching Hospital and Clinics Inc

  • Clinic/Center
  • Gainesville, FL
  • NPI 1821184649
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1295741221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 606",
            "city": "GLEN ST MARY",
            "state": "FL",
            "postal_code": "320400606",
            "telephone_number": "386-755-5044",
            "fax_number": "386-755-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 W DUVAL ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553811",
            "telephone_number": "386-755-1546",
            "fax_number": "386-755-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELKEN",
        "first_name": "ROBERT",
        "middle_name": "LEONARD",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA2550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290657100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra G Yaguda-Kinsey, RPH
• Regina Yates Freeman, LCSW
• Christine J Yaxley, P.T.
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• Michael Edwin Yeager, LMHC
• Yili Zhou LLC
• Samantha Grace Young, RDN, LDN
• Sylvia VG Youngblood
• Maria Criselda Borlongan Zaldivar, M.D.
• Alberto N Zambrana

• Physician Assistant in Lake City, FL
• Providers in Lake City, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.