Frederick Ketner Yates, M.D.
Individual provider Active NPI Emergency Medicine Physician · Columbia, LA
NPI 1396791653 · NPPES record last updated May 2, 2014
Key facts
- NPI
- 1396791653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- MD.019642 (LA)
- Practice address
- 7939 Highway 165
Columbia, LA 71418-3327 - Phone
- (318) 649-6106
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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
- Hospital Service District No. 1 of Caldwell Parish
Practice addresses (Care Compare)
7939 Hwy 165
Columbia, LA 71418-3327
Phone (318) 649-6106
Hospital & facility affiliations
- Citizens Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040220001031 | LA | Practitioner - Emergency Medicine | 3173418381 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ess Hospitalist LLC | Current |
Accepting new patients | |
| Emergency Staffing Solutions Inc | Emergency Medicine | Current |
Accepting new patients |
| Ark-la-Tex Diagnostics, Inc. | Current |
Accepting new patients | |
| Hospital Service District No. 1 of Caldwell Parish | Emergency Medicine | Current |
Accepting new patients |
| Jacksonville Emergency Medicine LLC | Emergency Medicine | Past |
Accepting new patients |
| Sabine Emergency Medicine LLC | Emergency Medicine | Past | Accepting new patients |
| LGH Oncology Clinic | Past | Accepting new patients | |
| Bonham Emergency Medicine LLC | Emergency Medicine | Past |
Accepting new patients |
| Flint Emergency Medicine LLC | Emergency Medicine | Past |
Accepting new patients |
| Genesis Emergency Medicine Services LLC | Emergency Medicine | Past |
Accepting new patients |
Locations
323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600
484 Collins Rd
#A
Columbia, LA 71418
Phone (318) 325-2610
484 Collins Rd
Columbia, LA 71418
Phone (314) 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
- frya3643@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD.019642 | LA | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1929786 | Medicaid | LA |
Other names
- Ruby F Yates
Other providers in Columbia, LA
- Janice Kay West
- Beth Wilkins
- Gaylne Delane Wilkins
- Sheila Shawnte' Williams
- Micaela Wilson
- Whitney Michelle Zarro
All providers in Columbia, LA · Emergency Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.