Charles L Yarbrough, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

10775 Issued in WV

Practice address

1934 11TH Ave
Huntington, WV 25701-3722

Phone

(304) 529-0900

Fax

(304) 529-3913

NPI assigned

Oct 27, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1356331508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 11TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013722",
            "telephone_number": "304-529-0900",
            "fax_number": "304-529-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 11TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013722",
            "telephone_number": "304-529-0900",
            "fax_number": "304-529-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARBROUGH",
        "first_name": "CHARLES",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "WV",
            "license": "10775",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WV",
            "license": "10775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070244000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charles.yarbrough@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1934 11th Ave",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maxine Yaged, CNM
• Stacie Danielle Yancey
• Kathleen Susanne Yancy, MSW
• Doris Yang, MD
• Andrew Michael Yanok, MD
• Greg Allen Yates II
• John Yates
• Beth A Yeager, LMT
• Ladoska Sheree Yeager, LPC
• Tiffany Danielle Yeager, PRSS

• Dermatology Physician in Huntington, WV
• Providers in Huntington, WV by specialty
• Dermatology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.