Henry Huandong Yan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3317 Penn Ave
West Lawn, PA 19609-1436

Phone

(610) 750-7891

NPI assigned

Jun 4, 2016

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Huandong Yan Former name

Medicare fee-for-service enrollment

Enrolled in NY, MD, DC3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anne Arundel Dermatology PAGroup PAC ID 6608761960, 126 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.75 of 100Reported as group

Promoting interoperability

95

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: henryyan@aadermaffiliates.emadirect.md

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.

• Anne Arundel Dermatology LLC

  • Dermatology Physician
  • Annapolis, MD
  • NPI 1063481703

  DC

  Medicare reassignment Care Compare group
• West 57TH Street Dermatology PLLC

  dba Westchester Center For Dermatology

  • Specialist
  • Scarsdale, NY
  • NPI 1518185727
  Medicare reassignment
• Advanced Ears Nose and Throat LLC

  • Otolaryngology Physician
  • Newark, DE
  • NPI 1154445559
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1464998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1376992990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 LIBERTY RD",
            "address_2": "SUITE 201",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846521",
            "telephone_number": "410-795-3747",
            "fax_number": "410-795-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 PENN AVE",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091436",
            "telephone_number": "610-750-7891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1645 Liberty Rd",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Eldersburg",
            "state": "MD",
            "postal_code": "217846521",
            "country_code": "US",
            "telephone_number": "410-795-3747",
            "fax_number": "410-795-3795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAN",
        "first_name": "HENRY",
        "middle_name": "HUANDONG",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HUANDONG",
            "last_name": "YAN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alicia Virga Witmer, D.C.
• Eric Todd Witmer, D.C.
• Gianna Witmer
• Dean A Wolf, D.C.
• Danielle Nicole Wunder, PHARMD

• Physician Assistant in West Lawn, PA
• Providers in West Lawn, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.