Active NPI
Vincent T Yu MD PC
- Surgery Physician
- Canon City, CO
National Provider Identifier
1497865240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 30832
- Legal business name
- VINCENT T YU MD PC
- Practice address
- 1121 Main St
Canon City, CO 81212-3413 - Phone
- (719) 276-2116
- Fax
- (719) 276-6919
- NPI assigned
- Aug 30, 2006
- 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
- Mr. Vincent T. Yu, M.D.
- Title
- Owner
- Phone
- (719) 276-2116
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 30832 | CO | Primary |
Addresses
Primary practice location
1121 Main St
Canon City, CO 81212-3413
Mailing address
P.O. Box 1614
Canon City, CO 81212-1614
Phone (719) 276-2116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04017075 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
1145 Ohio Ave
Ste A
Canon City, CO 81212
Phone (719) 275-4061
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Canon City, CO
- NPI 1881633816
-
- Family Nurse Practitioner
- Sterling, CO
- NPI 1720292725
-
- Family Nurse Practitioner
- Florence, CO
- NPI 1255359329
-
- Surgery Physician
- Fort Worth, TX
- NPI 1023067485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423094400000",
"number": "1497865240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1614",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812121614",
"telephone_number": "719-276-2116",
"fax_number": "719-276-6919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 MAIN ST",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812123413",
"telephone_number": "719-276-2116",
"fax_number": "719-276-6919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VINCENT T YU MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2015-02-05",
"status": "A",
"authorized_official_last_name": "YU",
"authorized_official_first_name": "VINCENT",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "719-276-2116",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "CO",
"license": "30832",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04017075",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canon City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.