Ernesto T.Yutiamco,M.D.,P.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

13306 Issued in WV

Legal business name

ERNESTO T.YUTIAMCO,M.D.,P.C.

Practice address

483 Main St
Madison, WV 25130-1223

Phone

(304) 369-0221

Fax

(304) 369-0222

NPI assigned

Aug 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ernesto T. Yutiamco, MDNPI 1942219365

Title

Owner/President

Phone

(304) 369-0221

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ernesto T. Yutiamco, MD

  • General Practice Physician
  • Madison, WV
  • NPI 1942219365
  NPD (past) Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366451700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251300428",
            "telephone_number": "304-369-0221",
            "fax_number": "304-369-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 MAIN ST",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301223",
            "telephone_number": "304-369-0221",
            "fax_number": "304-369-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNESTO T.YUTIAMCO,M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YUTIAMCO",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "304-369-0221",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WV",
            "license": "13306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0049816000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mathew Elkins
• Chelsey Ellis
• Natalie N Ellis
• Dallas Emeott
• Katelynn Epperhart
• Ralph Estep
• Ruth A Fankhauser
• Tonya Marie Farmer
• Vicki E Fehr
• Alyssa Ferrell

• General Practice Physician in Madison, WV
• Providers in Madison, WV by specialty
• General Practice Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.