Active NPI
Robert Yan, PHYSICIAN ASSISTANT
- Medical Physician Assistant
- Cincinnati, OH
National Provider Identifier
1447533716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA 9104076
- Practice address
- 411 Oak Street
Sterling Medical Associates
Cincinnati, OH 45219 - Phone
- (513) 984-1800
- Fax
- (513) 984-4909
- NPI assigned
- Sep 23, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 9104076 | FL | Primary |
| Medical Physician Assistant | 363AM0700X | 004419 | GA |
Addresses
Primary practice location
411 Oak Street
Sterling Medical Associates
Cincinnati, OH 45219
Mailing address
411 Oak Street Sterling Medical Associates
Attn: Credentials
Cincinnati, OH 45219
Phone (513) 984-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9104076 | FL | MD | Medical Physician Assistant |
| 004419 | GA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sterling Adult Day Services | Past | Accepting new patients | |
| Sterling Medical Associates | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Cincinnati, OH
- NPI 1336226729
-
- Adult Day Care Clinic/Center
- Colorado Springs, CO
- NPI 1497927529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1447533716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 OAK STREET STERLING MEDICAL ASSOCIATES",
"address_2": "ATTN: CREDENTIALS",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45219",
"telephone_number": "513-984-1800",
"fax_number": "513-984-4909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 OAK STREET",
"address_2": "STERLING MEDICAL ASSOCIATES",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45219",
"telephone_number": "513-984-1800",
"fax_number": "513-984-4909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAN",
"first_name": "ROBERT",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-23",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA 9104076",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "004419",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.