Active NPI
Dr. Micheal Yankowitz LLC
- Foot & Ankle Surgery Podiatrist
- Festus, MO
National Provider Identifier
1487987210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 000621
- Legal business name
- DR. MICHEAL YANKOWITZ LLC
- Practice address
- 1216 W Main St
Festus, MO 63028-1654 - Phone
- (636) 933-4100
- Fax
- (636) 937-3788
- NPI assigned
- Sep 11, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Yankowitz, DPM
- Title
- Owner
- Phone
- (636) 933-4100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 000621 | MO | Primary |
Addresses
Primary practice location
1216 W Main St
Festus, MO 63028-1654
Mailing address
PO Box 68
1216 West Main St
Festus, MO 63028-0068
Phone (636) 933-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303003206 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091102000582 | MO | Part B Supplier - Clinic/Group Practice | 1153468616 |
Receives reassigned benefits from 1 practitioner Practice locations: Cedar Hill, MO; Festus, MO |
National Provider Directory
National Provider DirectoryLocations
1216 W Main St
Festus, MO 63028
Phone (314) 525-4611
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252627200000",
"number": "1487987210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 68",
"address_2": "1216 WEST MAIN ST",
"city": "FESTUS",
"state": "MO",
"postal_code": "630280068",
"telephone_number": "636-933-4100",
"fax_number": "636-937-3788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 W MAIN ST",
"city": "FESTUS",
"state": "MO",
"postal_code": "630281654",
"telephone_number": "636-933-4100",
"fax_number": "636-937-3788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. MICHEAL YANKOWITZ LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-11",
"last_updated": "2009-09-11",
"status": "A",
"authorized_official_last_name": "YANKOWITZ",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "636-933-4100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MO",
"license": "000621",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303003206",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Festus, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.