Organization Active NPI

George Yatzkan MD PA

  • Specialist
  • Miami, FL
National Provider Identifier
1508235441
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME77088 Issued in FL
Legal business name
GEORGE YATZKAN MD PA
Practice address
10925 SW 26TH St
Miami, FL 33165-2301
Phone
(305) 559-7996
Fax
(305) 559-8316
NPI assigned
Sep 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
George Yatzkan, MDNPI 1457308744
Title
Owner
Phone
(305) 562-9406

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME77088 FL Primary

Addresses

Primary practice location

10925 SW 26TH St
Miami, FL 33165-2301

Mailing address

10925 SW 26TH St
Miami, FL 33165-2301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160120002725 FL Part B Supplier - Clinic/Group Practice 3476856709 Receives reassigned benefits from 5 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1508235441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10925 SW 26TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10925 SW 26TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652301",
            "telephone_number": "305-559-7996",
            "fax_number": "305-559-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE YATZKAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "YATZKAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-562-9406",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME77088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.

Verify at the official NPI Registry.