Individual provider Active NPI

Jennifer Ann Yorke, D.O.

  • Emergency Medicine Physician
  • Randallstown, MD
National Provider Identifier
1407964661
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
H0055644 Issued in MD
Practice address
5401 Old Court Rd
Northwest Hospital Emergency Dept
Randallstown, MD 21133-5103
Phone
(410) 521-5950
NPI assigned
Aug 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 H0055644 MD Primary

Addresses

Primary practice location

5401 Old Court Rd
Northwest Hospital Emergency Dept
Randallstown, MD 21133-5103

Mailing address

12443 Petrillo Dr
Highland, MD 20777-9567
Phone (301) 854-2120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150611000393 FL Practitioner - Emergency Medicine 0143202010 Reassigns benefits to 2 organizations
I20181206001003 GA Practitioner - Emergency Medicine 0143202010 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgewood Emergency Group, LLC Emergency Medicine CurrentSince Mar 11, 2019 Accepting new patients
Guidewell Emergency Medicine Doctors, LLC CurrentSince Apr 6, 2025 Accepting new patients
Emergency Group of Columbus, LLC Emergency Medicine CurrentSince Nov 1, 2018 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC Emergency Medicine CurrentSince Jul 1, 2015 Accepting new patients
Ridgewood Emergency Group, LLC Emergency Medicine CurrentSince Mar 11, 2019 Accepting new patients
Randall Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Yardmore Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Emergency Physician Associates of Maryland, P.C. Emergency Medicine Past Accepting new patients
Quarry Road Emergency Services P.C. Emergency Medicine Past Accepting new patients
Medical Faculty Associates, Inc Emergency Medicine Past Accepting new patients
Observation Medicine Specialists LLC Past Accepting new patients

Locations

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

17430 Bali Blvd
Winter Garden, FL 34787
Phone (863) 419-2496

113 N Orlando Ave
Winter Park, FL 32789
Phone (407) 801-8400

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407964661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12443 PETRILLO DR",
            "city": "HIGHLAND",
            "state": "MD",
            "postal_code": "207779567",
            "telephone_number": "301-854-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 OLD COURT RD",
            "address_2": "NORTHWEST HOSPITAL EMERGENCY DEPT",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335103",
            "telephone_number": "410-521-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORKE",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "H0055644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

Verify at the official NPI Registry.