Organization Active NPI

H. Kell Yang MD PC

  • Ophthalmology Physician
  • Columbia, MO
National Provider Identifier
1356664064
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MDR7A95 Issued in MO
Legal business name
H. KELL YANG MD PC
Practice address
201 W Broadway
BLDG. 4
Columbia, MO 65203-3842
Phone
(573) 441-7070
Fax
(573) 441-2288
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Henry Kell Yang, M.D.
Title
Owner
Phone
(573) 441-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MDR7A95 MO Primary

Addresses

Primary practice location

201 W Broadway
BLDG. 4
Columbia, MO 65203-3842

Mailing address

201 W Broadway
BLDG. 4
Columbia, MO 65203-3842
Phone (573) 441-7070

Other identifiers 2

IdentifierTypeStateIssuer
000094534OtherMOPTAN
201274727MedicaidMO

National Provider Directory

National Provider Directory

Locations

201 W Broadway
#4
Columbia, MO 65203
Phone (573) 441-7070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1356664064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W BROADWAY",
            "address_2": "BLDG. 4",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033842",
            "telephone_number": "573-441-7070",
            "fax_number": "573-441-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W BROADWAY",
            "address_2": "BLDG. 4",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033842",
            "telephone_number": "573-441-7070",
            "fax_number": "573-441-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. KELL YANG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "KELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-441-7070",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "MDR7A95",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "000094534",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201274727",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.