Joseph Douglas Yeakel, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

OH350H48052 Issued in OH

Practice address

1760 County Rd 36
Leadville, CO 80461

Phone

(719) 293-4897

NPI assigned

Nov 15, 2006

Last updated

Mar 10, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

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  NPD (past)
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  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1417029141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 943",
            "address_2": "1760 COUNTY RD 36",
            "city": "LEADVILLE",
            "state": "CO",
            "postal_code": "804610943",
            "telephone_number": "719-293-4897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 COUNTY RD 36",
            "city": "LEADVILLE",
            "state": "CO",
            "postal_code": "80461",
            "telephone_number": "719-293-4897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAKEL",
        "first_name": "JOSEPH",
        "middle_name": "DOUGLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "OH35048052",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR - 32388",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "OH350H48052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0563411",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West Central Mental Health Center, Inc. (Solvista Health)
• West Central Mental Health Center, Inc. (Solvista Health)
• Kathy Ann Westover, RN
• Connor T Wilson, BCABA
• Kathryn Wilson
• Antoinette Rose Young
• Nicole Zaugg, RN
• Lisa P. Zwerdlinger, M.D.

• Emergency Medicine Physician in Leadville, CO
• Providers in Leadville, CO by specialty
• Emergency Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.