Active NPI
Edmond Yaghoubian, MD
- Student in an Organized Health Care Education/Training Program
- Pittsburgh, PA
National Provider Identifier
1407592207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 5230 Centre Ave
Upmc Shadyside Department of Radiation Oncology
Pittsburgh, PA 15232 - Phone
- (412) 623-6720
- NPI assigned
- May 5, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
5230 Centre Ave
Upmc Shadyside Department of Radiation Oncology
Pittsburgh, PA 15232
Mailing address
3600 Forbes Avenue Forbes Tower
Plaza Level Suite 140
Pittsburgh, PA 15213
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)
- Not enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- eyaghoubian18923@prd.direct.tbh.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721347200000",
"number": "1407592207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 FORBES AVENUE FORBES TOWER",
"address_2": "PLAZA LEVEL SUITE 140",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5230 CENTRE AVE",
"address_2": "UPMC SHADYSIDE DEPARTMENT OF RADIATION ONCOLOGY",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15232",
"telephone_number": "412-623-6720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAGHOUBIAN",
"first_name": "EDMOND",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-05",
"last_updated": "2024-07-19",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.