Individual provider Active NPI

Katie Elizabeth Yonker, M.D.

  • Plastic Surgery Physician
  • Salem, OR
National Provider Identifier
1366785313
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD197779 Issued in OR
Practice address
875 Oak St SE Ste 4060
Salem, OR 97301-3990
Phone
(503) 561-7000
NPI assigned
Mar 28, 2013
Last updated
Jul 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD197779 OR Primary

Addresses

Primary practice location

875 Oak St SE Ste 4060
Salem, OR 97301-3990

Mailing address

875 Oak St SE Ste 4060
Salem, OR 97301-3990
Phone (503) 561-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20200805000473 OR Practitioner - Plastic and Reconstructive Surgery 8729229216 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Oregon Health Sciences University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem HealthGroup PAC ID 8628986668, 470 clinicians

Practice addresses (Care Compare)

5050 NE Hoyt St
Suite 240
Portland, OR 97213-2981
Phone (503) 215-6480

890 Oak St SE
Salem, OR 97301-3905
Phone (503) 561-5200

9205 SW Barnes Rd
Portland, OR 97225-6603

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD197779ORMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Mar 20, 2023 Accepting new patients
Salem Health Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Mar 20, 2023 Accepting new patients
Salem Health CurrentSince Oct 21, 2024 Accepting new patients
Salem Health CurrentSince Oct 21, 2024 Accepting new patients
Providence Health & Services Oregon CurrentSince Mar 20, 2023 Accepting new patients
Providence Health & Services - Oregon CurrentSince Mar 20, 2023 Accepting new patients
Yonker Plastic Surgery, LLC Plastic Surgery CurrentSince Sep 1, 2020 Accepting new patients

Locations

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

875 Oak St SE
Salem, OR 97301
Phone (503) 561-5719

875 Oak St SE
Ste 4060
Salem, OR 97301
Phone (503) 391-7001

890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHAECA/Endpoint/EHAECA
  • Direct secure messaging: kzirschky300960@oc.providencedirect.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1366785313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 OAK ST SE STE 4060",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013990",
            "telephone_number": "503-561-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 OAK ST SE STE 4060",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013990",
            "telephone_number": "503-561-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YONKER",
        "first_name": "KATIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OR",
            "license": "MD197779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.