Individual provider Active NPI

Helen Bok Yeon, MD

  • Specialist
  • Superior, CO
National Provider Identifier
1316036429
Registry record updated Oct 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
CO42472 Issued in CO
Practice address
300 Center Dr
Suite G145
Superior, CO 80027-8625
Phone
(303) 229-6005
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X CO42472 CO Primary

Addresses

Primary practice location

300 Center Dr
Suite G145
Superior, CO 80027-8625

Mailing address

300 Center Dr
Suite G145
Superior, CO 80027-8625
Phone (303) 229-6005

Other identifiers 1

IdentifierTypeStateIssuer
88903559MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CO42472COMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Athanasios Antoniadis OB GYN PC Past Accepting new patients
Southwest Suffolk Medical PC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225065600000",
    "number": "1316036429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CENTER DR",
            "address_2": "SUITE G145",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800278625",
            "telephone_number": "303-229-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTER DR",
            "address_2": "SUITE G145",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800278625",
            "telephone_number": "303-229-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEON",
        "first_name": "HELEN",
        "middle_name": "BOK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "CO42472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88903559",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.