NPIMap

Organization Active NPI

David K Yoon MD PA

  • Family Medicine Physician
  • Ormond Beach, FL
National Provider Identifier
1417144270
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DAVID K YOON MD PA
Practice address
1180 W Granada Blvd
Suite B
Ormond Beach, FL 32174-8165
Phone
(386) 676-2606
Fax
(386) 672-5341
NPI assigned
Sep 26, 2007
Last updated
Mar 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Authorized official

Name
Dolores Vandermaelen
Title
Administrator
Phone
(386) 677-2606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1180 W Granada Blvd
Suite B
Ormond Beach, FL 32174-8165

Mailing address

1180 W Granada Blvd
Suite B
Ormond Beach, FL 32174-8165
Phone (386) 676-2606

Other names 1

  • JENA MEDICAL Other name

National Provider Directory

National Provider Directory

Locations

1180 W Granada Blvd
Ste B
Ormond Beach, FL 32174
Phone (386) 676-2606

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1417144270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 W GRANADA BLVD",
            "address_2": "SUITE B",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748165",
            "telephone_number": "386-676-2606",
            "fax_number": "386-672-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 W GRANADA BLVD",
            "address_2": "SUITE B",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748165",
            "telephone_number": "386-676-2606",
            "fax_number": "386-672-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID K YOON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "VANDERMAELEN",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "386-677-2606"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JENA MEDICAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.