Organization Active NPI

Piedmont Prostate Center, PLLC

  • Radiation Oncology Physician
  • High Point, NC
National Provider Identifier
1497857718
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
PIEDMONT PROSTATE CENTER, PLLC
Practice address
218 Gatewood Ave
High Point, NC 27262-4877
Phone
(336) 889-9555
Fax
(336) 887-1339
NPI assigned
Sep 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Authorized official

Name
Dr. Yatwah Leung, MD
Title
Medical Director
Phone
(336) 889-9555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

218 Gatewood Ave
High Point, NC 27262-4877

Mailing address

PO Box 5109
High Point, NC 27262-5109
Phone (336) 889-9555

Other identifiers 1

IdentifierTypeStateIssuer
891263VMedicaidNC

National Provider Directory

National Provider Directory

Locations

218 Gatewood Ave
Ste A
High Point, NC 27262
Phone (336) 248-4413

624 Quaker Ln
Ste C103
High Point, NC 27262
Phone (336) 882-0220

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": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1497857718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5109",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272625109",
            "telephone_number": "336-889-9555",
            "fax_number": "336-887-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 GATEWOOD AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624877",
            "telephone_number": "336-889-9555",
            "fax_number": "336-887-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT PROSTATE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "LEUNG",
        "authorized_official_first_name": "YATWAH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "336-889-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891263V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.