Dr Holly Eyler-Yeatman PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

D0065208 Issued in MD

Legal business name

DR HOLLY EYLER-YEATMAN PC

Practice address

31 Robinson Rd
Severna Park, MD 21146-2841

Phone

(410) 544-5900

Fax

(410) 544-5939

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Holly Yeatman, M.D.

Title

Secretary

Phone

(410) 544-5900

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1447377833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 ROBINSON RD",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462841",
            "telephone_number": "410-544-5900",
            "fax_number": "410-544-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 ROBINSON RD",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462841",
            "telephone_number": "410-544-5900",
            "fax_number": "410-544-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR HOLLY EYLER-YEATMAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "YEATMAN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "410-544-5900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D0065208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11653101",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Jean Disney, COTA
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• Patrick Owen Dunn II, RD, LDN
• Dynasplint Systems, Inc

• Primary Care Clinic/Center in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.