Lance F Yeoman, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2008021956 Issued in MO

Practice address

225 Physicians Park Ste 203
Poplar Bluff, MO 63901-3921

Phone

(573) 686-4750

Fax

(573) 686-4753

NPI assigned

Dec 28, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

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.

• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641

  Dermatology

  NPD (past)
• Virginias Dermatology, Inc.

  • Dermatology Physician
  • Bluefield, WV
  • NPI 1902091101
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1396722765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639020699",
            "telephone_number": "573-686-4750",
            "fax_number": "573-686-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 PHYSICIANS PARK STE 203",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013921",
            "telephone_number": "573-686-4750",
            "fax_number": "573-686-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEOMAN",
        "first_name": "LANCE",
        "middle_name": "F",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2008021956",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "200700075",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "30823021",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "01955",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0102201530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tom Wright, H.I.S.
• Mary R Wyatt, PHARM D.
• Mitzi Wynne
• Shellie R Yarbro
• Jessica Rene Yeley, MSN,APRN,FNP-BC
• Alyssa Leeann Yoder
• Charissa Young, LCSW
• Robert C Young, MD
• Shevon Young
• Syeda Humna Zaidi, MBBS

• Dermatology Physician in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.