Active NPI
Takeshi Yoshida, MD
- Psychiatry Physician
- Lawrence, KS
National Provider Identifier
1477524361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0423906
- Practice address
- 200 Maine St
Ste a
Lawrence, KS 66044-1368 - Phone
- (785) 843-9192
- Fax
- (785) 843-6744
- NPI assigned
- Jan 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0423906 | KS | Primary |
Addresses
Primary practice location
200 Maine St
Ste a
Lawrence, KS 66044-1368
Mailing address
200 Maine St
Ste a
Lawrence, KS 66044-1368
Phone (785) 843-9192
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100097940A | Medicaid | KS |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0423906 | KS | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348531200000",
"number": "1477524361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MAINE ST",
"address_2": "STE A",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660441368",
"telephone_number": "785-843-9192",
"fax_number": "785-843-6744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MAINE ST",
"address_2": "STE A",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660441368",
"telephone_number": "785-843-9192",
"fax_number": "785-843-6744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOSHIDA",
"first_name": "TAKESHI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2012-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KS",
"license": "0423906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100097940A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.