Yash P Sangwan M D P a

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME78773 Issued in FL

Legal business name

YASH P SANGWAN M D P A

Practice address

1411 S 14TH St
Ste C
Fernandina Beach, FL 32034-3031

Phone

(904) 261-6209

Fax

(904) 261-0732

NPI assigned

Jul 13, 2010

Last updated

Jul 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yash Pal Sangwan, M.D.NPI 1578551032

Title

President

Phone

(904) 261-6209

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JBJCBA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yash Pal Sangwan, MD

  • Colon & Rectal Surgery Physician
  • Fernandina Beach, FL
  • NPI 1578551032
  Authorized official Same address or phone

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1396057733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 S 14TH ST",
            "address_2": "SUITE C",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343031",
            "telephone_number": "904-261-6209",
            "fax_number": "904-261-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 S 14TH ST",
            "address_2": "STE C",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343031",
            "telephone_number": "904-261-6209",
            "fax_number": "904-261-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASH P SANGWAN M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "SANGWAN",
        "authorized_official_first_name": "YASH",
        "authorized_official_middle_name": "PAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-261-6209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME78773",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME78773",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY NUMBER",
            "identifier": "E2938A",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001122600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ross Davin Wise, APRN
• Women's Care Florida LLC
• Alana Woods, LCSW
• Kathryn Worley, LMFT
• Robert Thomas Wulterkens
• Angela Yavny, PA-C
• Tameerah Yisrael, APRN FNP-BC

• Surgery Physician in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.