Individual provider Active NPI

Arnold Yampolsky, PA-S

  • Student in an Organized Health Care Education/Training Program
  • Mountain BRK, AL
National Provider Identifier
1538900394
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
8352522 Issued in AL
Practice address
3503 Rockcliff Cir
Mountain BRK, AL 35210-3030
Phone
(205) 516-9497
NPI assigned
Jun 5, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 8352522 AL Primary

Addresses

Primary practice location

3503 Rockcliff Cir
Mountain BRK, AL 35210-3030

Mailing address

3503 Rockcliff Cir
Mountain BRK, AL 35210-3030
Phone (205) 516-9497

Other names 1

  • Ronny Yampolsky Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8352522ALMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1538900394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 ROCKCLIFF CIR",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352103030",
            "telephone_number": "205-516-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 ROCKCLIFF CIR",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352103030",
            "telephone_number": "205-516-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMPOLSKY",
        "first_name": "ARNOLD",
        "credential": "PA-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AL",
            "license": "8352522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONNY",
            "last_name": "YAMPOLSKY",
            "credential": "PA-S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mountain BRK, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.