Active NPI
William A Yetter, MD
- Psychiatry Physician
- Virginia Beach, VA
National Provider Identifier
1346212230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101041411
- Practice address
- 4854 Haygood Rd
Virginia Beach, VA 23455-5351 - Phone
- (757) 468-0550
- Fax
- (757) 468-9992
- NPI assigned
- Feb 3, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101041411 | VA | Primary |
Addresses
Primary practice location
4854 Haygood Rd
Virginia Beach, VA 23455-5351
Mailing address
4854 Haygood Rd
Virginia Beach, VA 23455-5351
Phone (757) 468-0550
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50504 | Other | CIGNA | |
| 680009372 | Other | MCARE RAILROAD | |
| C01884 | Other | MCARE | |
| 007117426 | Medicaid | VA | |
| 312505 | Other | MAMSI | |
| 000226 | Other | VALUE OPTIONS | |
| 026511 | Other | MAGELLAN | |
| 080026 | Other | SENTARA OPTIMA | |
| 453299 | Other | ANTHEM PPO | |
| 453299 | Other | ANTHEM HEALTH KEEPERS | |
| 229756 | Other | MANAGED HEALTH NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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
- Psychiatry
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 1St Colonial Rd
Virginia Beach, VA 23454-2403
Phone (757) 496-4500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Hospital Corporation of Virginia Beach | Current | Accepting new patients |
Locations
1100 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 463-5240
Organizations & group practices 1
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.
-
- Psychiatric Hospital
- Virginia Beach, VA
- NPI 1326071093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375056000000",
"number": "1346212230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4854 HAYGOOD RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234555351",
"telephone_number": "757-468-0550",
"fax_number": "757-468-9992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4854 HAYGOOD RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234555351",
"telephone_number": "757-468-0550",
"fax_number": "757-468-9992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YETTER",
"first_name": "WILLIAM",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2013-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101041411",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "50504",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE RAILROAD",
"identifier": "680009372",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "C01884",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007117426",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "312505",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "000226",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "026511",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA OPTIMA",
"identifier": "080026",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PPO",
"identifier": "453299",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM HEALTH KEEPERS",
"identifier": "453299",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "229756",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.