Robert Yamulla, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD031594E Issued in PA

Practice address

128 West 14TH St
Hazleton, PA 18201-3266

Phone

(570) 455-7677

Fax

(570) 455-7627

NPI assigned

Dec 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Edward S Polashenski DO PC

  • Gastroenterology Physician
  • Hazleton, PA
  • NPI 1871635458

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396051200000",
    "number": "1376527655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1347",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040347",
            "telephone_number": "570-288-8881",
            "fax_number": "570-288-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 WEST 14TH ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182013266",
            "telephone_number": "570-455-7677",
            "fax_number": "570-455-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMULLA",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2014-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD031594E",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD031594E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010850580001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FDH",
            "identifier": "072376",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Woodward, LPC
• Alfreda A Wujcik, LPC (LICENSED PROFES
• Matthew Jame Wynings, LMT
• Christine Rita Wysocky
• Shu-Guang Xu, MD
• Madison Yeager
• Yocums Pharmacy Inc
• Young-Kul Yoo, MD
• Myung Sun Yoon, MD
• Ashley Marie Zaykoski, PA-C

• Gastroenterology Physician in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Gastroenterology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; 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.