Jonathan Edward Yoder, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11637 Issued in AL

Practice address

402 Medical Park Dr
Atmore, AL 36502-3004

Phone

(251) 368-7974

Fax

(251) 368-5973

NPI assigned

Feb 9, 2006

Last updated

Dec 22, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• bcbs alabama network 01H0
• bcbs alabama network 01C0
• bcbs alabama network 01E0
• bcbs alabama network 01A0
• bcbs alabama network 01B0
• bcbs alabama network 01G0

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.

• Escambia County Alabama Community Hospitals, Inc

  dba Atmore Community Hospital

  • Rural Acute Care Hospital
  • Atmore, AL
  • NPI 1124073879
  Medicare reassignment NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  Medicare reassignment NPD
• WH Services Atmore LLC

  • Emergency Medicine Physician
  • Atmore, AL
  • NPI 1972375574
  Medicare reassignment NPD
• WH Services Brewton LLC

  • Emergency Medicine Physician
  • Brewton, AL
  • NPI 1194408005
  Medicare reassignment NPD
• Emergency Staffing Solutions Inc

  • Emergency Medicine Physician
  • Many, LA
  • NPI 1477590974

  AL

  Medicare reassignment NPD
• Jonathan E Yoder

  dba Atmore Family Medicine

  • Family Medicine Physician
  • Atmore, AL
  • NPI 1245342880
  NPD (past) Authorized official
• Escambia County Alabama Community Hospitals Inc

  dba Ach Family Physicians

  • Rural Health Clinic/Center
  • Atmore, AL
  • NPI 1093994758
  NPD
• Escambia County Alabama Community Hospitals, Inc.

  dba Ach Primary Care

  • Rural Health Clinic/Center
  • Atmore, AL
  • NPI 1659510931

  Family Medicine

  NPD

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1508839556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 MEDICAL PARK DR",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365023004",
            "telephone_number": "251-368-7974",
            "fax_number": "251-368-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MEDICAL PARK DR",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365023004",
            "telephone_number": "251-368-7974",
            "fax_number": "251-368-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODER",
        "first_name": "JONATHAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "11637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000010182",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diamond Christine Williams
• Harley Williams
• Bria Willis
• Cheryl B Wooten, RPH
• Kennedy Yance

• Family Medicine Physician in Atmore, AL
• Providers in Atmore, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.