Alexander E Yakovlev, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

36140-20 Issued in WI

Practice address

820 E Grant St
Suite 335
Appleton, WI 54911-3490

Phone

(920) 733-7230

NPI assigned

Sep 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Gastrointestinal Specialists SC

  • Gastroenterology Physician
  • Neenah, WI
  • NPI 1174692677
  NPD (past)
• New Anesthesiology SC

  • Anesthesiology Physician
  • Appleton, WI
  • NPI 1629163894
  NPD (past)

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1497855118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 THEDA CLARK MEDICAL PLZ",
            "address_2": "SUITE 252",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562763",
            "telephone_number": "920-733-7230",
            "fax_number": "920-729-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E GRANT ST",
            "address_2": "SUITE 335",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549113490",
            "telephone_number": "920-733-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKOVLEV",
        "first_name": "ALEXANDER",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WI",
            "license": "36140-20",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WI",
            "license": "36140-20",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Cameron Wygle
• Lorelei Wyman, LPN
• Hue Xiong
• Ka Xiong, APSW
• Simon Richard Yadgir
• Donny Yang, APSW
• Khone Yang, RPH
• Kuang Min Yang, M.D.
• Mai Yee Yang, PHARMD
• Pang Nya Yang, FNP-BC

• Interventional Pain Medicine Physician in Appleton, WI
• Providers in Appleton, WI by specialty
• Interventional Pain Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.

Verify at the official NPI Registry.