Active NPI
Mary a. Yuengert MD, P.C.
- Family Medicine Physician
- Newport News, VA
National Provider Identifier
1306066386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101041228
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0103451 | Other | VA | UNITED HEALTHCARE |
| 5785278 | Other | VA | AETNA |
| 17652 | Other | VA | OPTIMA |
| 236108 | Other | VA | ANTHEM BCBS |
| 2671966 | Other | VA | CIGNA |
| 1383297 | Other | VA | FIRST HEALTH |
| 839478 | Other | VA | MAMSI |
National Provider Directory
National Provider DirectoryNPI 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.