NPIMap

Organization Active NPI

Yarbro LTD

Doing business as Lake Mead Radiologists

  • Diagnostic Radiology Physician
  • Henderson, NV
National Provider Identifier
1568411965
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
NA FACILITY Issued in NV
Legal business name
YARBRO LTD
Doing business as
Lake Mead Radiologists
Practice address
2559 Wigwam Pkwy
Henderson, NV 89074-6230
Phone
(702) 982-3659
Fax
(702) 594-0377
NPI assigned
May 10, 2006
Last updated
Nov 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
Dr. Donald Dean Yarbro Jr., M.D.NPI 1629042411
Title
President
Phone
(702) 982-3659

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
Diagnostic Radiology Physician 2085R0202X NA FACILITY NV Primary

Addresses

Primary practice location

2559 Wigwam Pkwy
Henderson, NV 89074-6230

Mailing address

2559 Wigwam Pkwy
Henderson, NV 89074-6230
Phone (702) 982-3659

Other names 1

  • Lake Mead Radiologists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040302000613 NV Part B Supplier - Clinic/Group Practice 0547157877 Receives reassigned benefits from 3 practitioners
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Locations

2559 Wigwam Pkwy
Henderson, NV 89074
Phone (702) 982-3659

5495 S Rainbow Blvd
Ste 201
Las Vegas, NV 89118
Phone (702) 982-3659

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1568411965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2559 WIGWAM PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746230",
            "telephone_number": "702-982-3659",
            "fax_number": "702-594-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2559 WIGWAM PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746230",
            "telephone_number": "702-982-3659",
            "fax_number": "702-594-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YARBRO LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "YARBRO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-982-3659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "NA FACILITY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Mead Radiologists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.