Organization Active NPI

Yasinmd PLLC

  • Pulmonary Disease Physician
  • Prospect, KY
National Provider Identifier
1437700754
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
YASINMD PLLC
Practice address
13304 Ridgemoor Dr
Prospect, KY 40059-7139
Phone
(347) 484-7439
NPI assigned
Sep 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Authorized official

Name
Muhammad Yasin
Title
Owner/MD
Phone
(347) 484-7439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

13304 Ridgemoor Dr
Prospect, KY 40059-7139

Mailing address

13304 Ridgemoor Dr
Prospect, KY 40059-7139
Phone (347) 484-7439

Other identifiers 1

IdentifierTypeStateIssuer
7100208060MedicaidKY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1437700754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13304 RIDGEMOOR DR",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400597139",
            "telephone_number": "347-484-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13304 RIDGEMOOR DR",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400597139",
            "telephone_number": "347-484-7439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASINMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "YASIN",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "347-484-7439"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100208060",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.