Organization Active NPI

Mary a. Yuengert MD, P.C.

  • Family Medicine Physician
  • Newport News, VA
National Provider Identifier
1306066386
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101041228 Issued in VA
Legal business name
MARY A. YUENGERT MD, P.C.
Practice address
11835 Fishing Point Dr
Suite 104
Newport News, VA 23606-2584
Phone
(757) 223-7097
Fax
(757) 223-7095
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mary Agnes Yuengert, M.D.
Title
President
Phone
(757) 223-7097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0101041228 VA Primary

Addresses

Primary practice location

11835 Fishing Point Dr
Suite 104
Newport News, VA 23606-2584

Mailing address

11835 Fishing Point Dr
Suite 104
Newport News, VA 23606-2584
Phone (757) 223-7097

Other identifiers 7

IdentifierTypeStateIssuer
0103451OtherVAUNITED HEALTHCARE
5785278OtherVAAETNA
17652OtherVAOPTIMA
236108OtherVAANTHEM BCBS
2671966OtherVACIGNA
1383297OtherVAFIRST HEALTH
839478OtherVAMAMSI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1306066386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11835 FISHING POINT DR",
            "address_2": "SUITE 104",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062584",
            "telephone_number": "757-223-7097",
            "fax_number": "757-223-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 FISHING POINT DR",
            "address_2": "SUITE 104",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062584",
            "telephone_number": "757-223-7097",
            "fax_number": "757-223-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY A. YUENGERT MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "YUENGERT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "AGNES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-223-7097",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101041228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0103451",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5785278",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "17652",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "236108",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2671966",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1383297",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "839478",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.