Active NPI
Steven M Yellin, D.P.M
- Foot Surgery Podiatrist
- Martinsville, VA
National Provider Identifier
1508809633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 0103000370
- Practice address
- 1001 Brookdale St
Martinsville, VA 24112-3901 - Phone
- (276) 638-2202
- Fax
- (276) 638-8251
- NPI assigned
- Jun 14, 2006
- Last updated
- Dec 13, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 0103000370 | VA | Primary |
Addresses
Primary practice location
1001 Brookdale St
Martinsville, VA 24112-3901
Mailing address
1001 Brookdale St
Martinsville, VA 24112-3901
Phone (276) 638-2202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009301275 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0103000370 | VA | MD | Foot Surgery Podiatrist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Customized Equipment (DME)
- Martinsville, VA
- NPI 1205007879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323734400000",
"number": "1508809633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 BROOKDALE ST",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241123901",
"telephone_number": "276-638-2202",
"fax_number": "276-638-8251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 BROOKDALE ST",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241123901",
"telephone_number": "276-638-2202",
"fax_number": "276-638-8251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YELLIN",
"first_name": "STEVEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.P.M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2011-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "VA",
"license": "0103000370",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009301275",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Martinsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.