Organization Active NPI

Masao S Yu MD Inc

  • Family Medicine Physician
  • Lorain, OH
National Provider Identifier
1467564658
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35040414 Issued in OH
Legal business name
MASAO S YU MD INC
Practice address
5340 Oberlin Ave
Suite 1
Lorain, OH 44053-3482
Phone
(440) 282-8275
Fax
(440) 282-8289
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Dr. Masao Yu, M.D.
Title
President
Phone
(440) 282-8275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35040414 OH Primary

Addresses

Primary practice location

5340 Oberlin Ave
Suite 1
Lorain, OH 44053-3482

Mailing address

5340 Oberlin Ave
Suite 1
Lorain, OH 44053-3482
Phone (440) 282-8275

Other identifiers 1

IdentifierTypeStateIssuer
0344185MedicaidOH

National Provider Directory

National Provider Directory

Locations

5340 Oberlin Ave
Ste 1
Lorain, OH 44053
Phone (440) 282-8275

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1467564658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 OBERLIN AVE",
            "address_2": "SUITE 1",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533482",
            "telephone_number": "440-282-8275",
            "fax_number": "440-282-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 OBERLIN AVE",
            "address_2": "SUITE 1",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533482",
            "telephone_number": "440-282-8275",
            "fax_number": "440-282-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASAO S YU MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "MASAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-282-8275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35040414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0344185",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.