NPIMap

Individual provider Active NPI

Frederick Ketner Yates, M.D.

  • Emergency Medicine Physician
  • Columbia, LA
National Provider Identifier
1396791653
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD.019642 Issued in LA
Practice address
7939 Highway 165
Columbia, LA 71418-3327
Phone
(318) 649-6106
NPI assigned
May 26, 2006
Last updated
May 2, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD.019642 LA Primary

Addresses

Primary practice location

7939 Highway 165
Columbia, LA 71418-3327

Mailing address

PO Box 6773
Shreveport, LA 71136-6773
Phone (318) 347-6487

Other names 1

  • Ruby F Yates Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040220001031 LA Practitioner - Emergency Medicine 3173418381 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7939 Hwy 165
Columbia, LA 71418-3327
Phone (318) 649-6106

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.019642LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No. 1 of Caldwell Parish Emergency Medicine CurrentSince Jun 6, 2014 Accepting new patients
Emergency Staffing Solutions Inc Emergency Medicine CurrentSince Apr 25, 2017 Accepting new patients
Ark-la-Tex Diagnostics, Inc. CurrentSince Dec 5, 2005 Accepting new patients
Ess Hospitalist LLC CurrentSince Apr 25, 2017 Accepting new patients
Jacksonville Emergency Medicine LLC Emergency Medicine PastSince Jan 1, 2010 Accepting new patients
LGH Oncology Clinic Past Accepting new patients
Genesis Emergency Medicine Services LLC Emergency Medicine PastSince Oct 3, 2005 Accepting new patients
Sabine Emergency Medicine LLC Emergency Medicine Past Accepting new patients
Bonham Emergency Medicine LLC Emergency Medicine PastSince Aug 11, 2008 Accepting new patients
Flint Emergency Medicine LLC Emergency Medicine PastSince Aug 1, 2010 Accepting new patients

Locations

323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600

484 Collins Rd
Columbia, LA 71418
Phone (314) 649-5300

484 Collins Rd
#A
Columbia, LA 71418
Phone (318) 649-5300

187 Ninth St
Jena, LA 71342
Phone (318) 992-9200

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

240 Highland Dr
Many, LA 71449
Phone (318) 256-5691

17304 Preston Rd
Ste 1400
Dallas, TX 75252
Phone (972) 934-3200

Interoperability endpoints

  • Direct secure messaging: frya3643@yourcarecommunity.org

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1396791653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6773",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711366773",
            "telephone_number": "318-347-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7939 HIGHWAY 165",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "714183327",
            "telephone_number": "318-649-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "FREDERICK",
        "middle_name": "KETNER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.019642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUBY",
            "last_name": "YATES",
            "middle_name": "F",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, LA

Sources for this page

Verify at the official NPI Registry.