Yankton Surgical Associates PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0340 Issued in SD

Legal business name

YANKTON SURGICAL ASSOCIATES PC

Practice address

2525 Fox Run Pkwy
Suite 204
Yankton, SD 57078-5370

Phone

(605) 668-9670

Fax

(605) 668-0371

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Kynan C Trail, MDNPI 1962452458

Title

Ceo

Phone

(605) 668-9670

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kynan Charles Trail, MD

  • Surgery Physician
  • Yankton, SD
  • NPI 1962452458
  Authorized official Same address or phone
• Myles Eldon Tieszen, MD

  • Surgery Physician
  • Luverne, MN
  • NPI 1063464683
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1407893381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 FOX RUN PKWY",
            "address_2": "SUITE 204",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570785370",
            "telephone_number": "605-668-9670",
            "fax_number": "605-668-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 FOX RUN PKWY",
            "address_2": "SUITE 204",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570785370",
            "telephone_number": "605-668-9670",
            "fax_number": "605-668-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANKTON SURGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "TRAIL",
        "authorized_official_first_name": "KYNAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-668-9670",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "SD",
            "license": "0340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yankton Medical Clinic PC (Yankton Medical Clinic Pharmacy)
• Yankton Medical Clinic, PC (Ymc Home Care)
• Yankton PH (Prairie Homes Assisted Living)
• Yankton Radiology Prof LLC
• Yankton School Dist. 63-3
• Yankton Transit, Inc
• Yankton Transit, Inc.
• Yankton Urological Surgery LLC
• Jonathan Abraham Yazhari, DPM
• Kayla Yazhari, DPM

• Surgery Physician in Yankton, SD
• Providers in Yankton, SD by specialty
• Surgery Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.

Verify at the official NPI Registry.