Individual provider Active NPI

Ruth Hanshin Yoon, D.O.

  • Family Medicine Physician
  • Okemos, MI
National Provider Identifier
1366478695
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101012633 Issued in MI
Practice address
4265 Okemos Rd
Suite H
Okemos, MI 48864-3285
Phone
(517) 349-3444
Fax
(517) 349-4330
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101012633 MI Primary

Addresses

Primary practice location

4265 Okemos Rd
Suite H
Okemos, MI 48864-3285

Mailing address

4265 Okemos Rd
Suite H
Okemos, MI 48864-3285
Phone (517) 349-3444

Other identifiers 7

IdentifierTypeStateIssuer
01-70260OtherMIPHP-MEDICAID
5032644OtherMIAETNA US HEALTH
080179257OtherMIRAILROAD/MEDICARE
4351381MedicaidMI
5330199OtherMIBCBS
01-01940OtherMIPHP
P96089OtherMIBCN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050726000964 MI Practitioner - Family Practice 6305873860 Practice locations: Okemos, MI

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4265 Okemos Rd
Suite H
Okemos, MI 48864-3285
Phone (517) 349-3444

Hospital & facility affiliations

  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
  • University of Michigan Health- Sparrow Clinton Hospital, Saint Johns, MI, CCN 231326

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101012633MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Michigan Physicians, PC Family Medicine Past Accepting new patients
Ingham Nephrology and Hypertension PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ryoon15067@sparrowdirecthie.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366478695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 OKEMOS RD",
            "address_2": "SUITE H",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643285",
            "telephone_number": "517-349-3444",
            "fax_number": "517-349-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4265 OKEMOS RD",
            "address_2": "SUITE H",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643285",
            "telephone_number": "517-349-3444",
            "fax_number": "517-349-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "RUTH",
        "middle_name": "HANSHIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101012633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP-MEDICAID",
            "identifier": "01-70260",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTH",
            "identifier": "5032644",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD/MEDICARE",
            "identifier": "080179257",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4351381",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5330199",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "01-01940",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P96089",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.