Individual provider Active NPI

Thjeodore Leon Yarboro, Sr, M.D.

  • Family Medicine Physician
  • Sharon, PA
National Provider Identifier
1457437543
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD007745E Issued in PA
Practice address
755 Division St
Sharon, PA 16146-2530
Phone
(724) 346-4124
Fax
(724) 346-0766
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD007745E PA Primary

Addresses

Primary practice location

755 Division St
Sharon, PA 16146-2530

Mailing address

755 Division St
Sharon, PA 16146-2530
Phone (724) 346-4124

Other identifiers 1

IdentifierTypeStateIssuer
0006133980001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110412000348 PA Practitioner - Family PracticePractitioner - General Practice 7618999731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Meharry Medical College School of Medicine, 1963
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

755 Division St
Sharon, PA 16146-2530
Phone (724) 346-4124

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Theodore L Yarboro MD Inc Family Medicine CurrentSince Jul 1, 1970 Accepting new patients
Theodore L. Yarboro, MD Inc Family Medicine PastSince Mar 1, 2011 Accepting new patients

Locations

563 Brookfield Ave
Masury, OH 44438
Phone (330) 448-0782

755 Division St
Sharon, PA 16146
Phone (724) 346-4124

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457437543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 DIVISION ST",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161462530",
            "telephone_number": "724-346-4124",
            "fax_number": "724-346-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 DIVISION ST",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161462530",
            "telephone_number": "724-346-4124",
            "fax_number": "724-346-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARBORO, SR",
        "first_name": "THJEODORE",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD007745E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006133980001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon, PA

Sources for this page

Verify at the official NPI Registry.