Individual provider Active NPI

Yunguang Liu, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Fayetteville, AR
National Provider Identifier
1376860957
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
E-17253 Issued in AR
Practice address
390 E Longview St
Fayetteville, AR 72703-4618
Phone
(479) 442-0144
Fax
(479) 442-4557
NPI assigned
Apr 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X E-17253 AR Primary

Addresses

Primary practice location

390 E Longview St
Fayetteville, AR 72703-4618

Mailing address

390 E Longview St
Fayetteville, AR 72703-4618
Phone (479) 442-0144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AR, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220527002156 CA Practitioner - Pathology 7618265935 Reassigns benefits to 1 organization
I20240517003793 AR Practitioner - Pathology 7618265935 Reassigns benefits to 1 organization
I20250306000735 TX Practitioner - Pathology 7618265935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherokee NationGroup PAC ID 5799698742, 446 clinicians
County of MontereyGroup PAC ID 2466345632, 186 clinicians

Practice addresses (Care Compare)

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100

1441 Constitution Blvd
Salinas, CA 93912
Phone (831) 755-4235

390 E Longview St
Fayetteville, AR 72703-4618
Phone (479) 442-0144

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-17253ARMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Dec 29, 2024 Accepting new patients
Northwest Arkansas Pathology Associates, PA CurrentSince Apr 13, 2024 Accepting new patients
County of Monterey Behavioral Health CurrentSince Jan 21, 2026 Accepting new patients
Northwest Arkansas Pathology Associates PA Anatomic Pathology & Clinical Pathology CurrentSince Apr 13, 2024 Accepting new patients
County of Monterey CurrentSince Jan 21, 2026 Accepting new patients
Cherokee Nation CurrentSince Dec 29, 2024 Accepting new patients
Cherokee Nation Current Accepting new patients
Bass Medical Group Past Accepting new patients
County of Monterey Past Accepting new patients

Locations

390 E Longview St
Fayetteville, AR 72703
Phone (479) 442-0144

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Interoperability endpoints

  • Direct secure messaging: yliu46277@washingtonregional.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1271894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1376860957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 E LONGVIEW ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034618",
            "telephone_number": "479-442-0144",
            "fax_number": "479-442-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 E LONGVIEW ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034618",
            "telephone_number": "479-442-0144",
            "fax_number": "479-442-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "YUNGUANG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-22",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AR",
            "license": "E-17253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.