Active NPI
Ernesto Yu Dy, M.D.
- Surgery Physician
- Belcourt, ND
National Provider Identifier
1396779971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35043778D
- Practice address
- 1 Hospital Rd
Belcourt, ND 58316-0160 - Phone
- (701) 477-6111
- Fax
- (701) 477-8401
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35043778D | OH | Primary |
Addresses
Primary practice location
1 Hospital Rd
Belcourt, ND 58316-0160
Mailing address
1 Hospital Rd
Belcourt, ND 58316
Phone (701) 477-6111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0510932 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35043778D | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quentin N Burdick Comprehensive Health Care Facility | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacist
- Belcourt, ND
- NPI 1245754548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325635200000",
"number": "1396779971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOSPITAL RD",
"city": "BELCOURT",
"state": "ND",
"postal_code": "58316",
"telephone_number": "701-477-6111",
"fax_number": "701-477-8401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL RD",
"city": "BELCOURT",
"state": "ND",
"postal_code": "583160160",
"telephone_number": "701-477-6111",
"fax_number": "701-477-8401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DY",
"first_name": "ERNESTO",
"middle_name": "YU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2012-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35043778D",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0510932",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belcourt, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.