Organization Active NPI

F.E.Yuzon, M.D. Inc.

  • Gastroenterology Physician
  • Lorain, OH
National Provider Identifier
1396927109
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35035173 Issued in OH
Legal business name
F.E.YUZON, M.D. INC.
Practice address
3600 Kolbe Rd
Suite 205
Lorain, OH 44053-1654
Phone
(440) 960-6430
Fax
(440) 960-6434
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Diana Sooy
Title
Biller
Phone
(440) 960-6430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 35035173 OH Primary

Addresses

Primary practice location

3600 Kolbe Rd
Suite 205
Lorain, OH 44053-1654

Mailing address

3600 Kolbe Rd
Suite 205
Lorain, OH 44053-1654
Phone (440) 960-6430

Other identifiers 2

IdentifierTypeStateIssuer
9153751OtherOHMEDICARE PROVIDER I.D. #
CB0354OtherOHRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1396927109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 KOLBE RD",
            "address_2": "SUITE 205",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531654",
            "telephone_number": "440-960-6430",
            "fax_number": "440-960-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 KOLBE RD",
            "address_2": "SUITE 205",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531654",
            "telephone_number": "440-960-6430",
            "fax_number": "440-960-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F.E.YUZON, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "SOOY",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "440-960-6430"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35035173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER I.D. #",
            "identifier": "9153751",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB0354",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.