Phillip Yim, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0011958 Issued in MD

Practice address

615 W Macphail Rd
Suite 107
Bel Air, MD 21014-4309

Phone

(410) 838-9555

Fax

(410) 836-5056

NPI assigned

Aug 26, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

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.

• Gomez Yim & Rastogi, M.D., P.a.

  dba Bel Air Pediatric Center Havre de Grace Pediatric Center

  • Pediatrics Physician
  • Bel Air, MD
  • NPI 1407980717
  NPD (past)

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1396738191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W MACPHAIL RD",
            "address_2": "SUITE 107",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144309",
            "telephone_number": "410-838-9555",
            "fax_number": "410-836-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W MACPHAIL RD",
            "address_2": "SUITE 107",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144309",
            "telephone_number": "410-838-9555",
            "fax_number": "410-836-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIM",
        "first_name": "PHILLIP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0011958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Yang, M.D.
• Long Yang, M.D.
• Taylor Yarbrough, MA
• Beth Yarnold, CRNP
• Jack Leonard Yeager, MASTERS OF SCIENCE
• Robert Phillip Yim, MD
• Ayona Young, LMSW
• Tracie Young, LCSW-C
• William C Young, PT
• Faheem Younus, M.D.

• Specialist in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.