Individual provider Active NPI

Colette Elizabeth Yori Tobia, D.P.M

  • Podiatrist
  • Tamarac, FL
National Provider Identifier
1598147290
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3978 Issued in FL
Practice address
8307 NW 88TH Ave
Tamarac, FL 33321
Phone
(954) 721-3411
Fax
(954) 721-3411
NPI assigned
Jun 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X PO3978 FL Primary

Addresses

Primary practice location

8307 NW 88TH Ave
Tamarac, FL 33321

Mailing address

8307 NW 88TH Ave
Tamarac, FL 33321-1539
Phone (954) 721-3411

Other practice location 1

4300 Alton Rd
200
Miami Beach, FL 33140-2948
Phone (305) 893-9366

Other names 1

  • Dr. Colette Elizabeth Yori Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Tamarac Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240229001678 PA Practitioner - Podiatry 3375807845 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millcreek Community HospitalGroup PAC ID 8426020173, shared by 24 NPIs, 67 clinicians

Practice addresses (Care Compare)

537 W 18TH St
Plaza 18 Medical Center
Erie, PA 16502-1722
Phone (814) 456-1009

5401 Peach St
Suite 3400
Erie, PA 16509-2601
Phone (814) 868-2200

5535 Peach St
FL 1
Erie, PA 16509-2603
Phone (814) 868-3488

Hospital & facility affiliations

  • Lecom Medical Center and Behavioral Health Pav Hospital, Erie, PA, CCN 390198

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue65
Removal of skin lesions1-10
Removal of nail tissue407
Removal or shaving of skin growth45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Millcreek Community Hospital Current Accepting new patients
Millcreek Community Hospital CurrentSince Mar 3, 2024 Accepting new patients
Corry Memorial Hospital Association CurrentSince Feb 21, 2024 Accepting new patients
Medical Associates of Erie CurrentSince Feb 21, 2024 Accepting new patients
Medical Associates of Erie Current Accepting new patients
Millcreek Community Hospital CurrentSince Feb 21, 2024 Accepting new patients
Clinical Practice of Lecom Institute for Successful Living Podiatrist CurrentSince May 1, 2024 Accepting new patients
Millcreek Community Hospital Current Accepting new patients
Millcreek Community Hospital CurrentSince Feb 21, 2024 Accepting new patients
Millcreek Community Hospital CurrentSince Feb 21, 2024 Accepting new patients
Clinical Practice of Lecom Institute for Successful Living CurrentSince May 1, 2024 Accepting new patients
Medical Associates of Erie CurrentSince Feb 21, 2024 Accepting new patients
Millcreek Community Hospital Podiatrist CurrentSince Jun 3, 2024 Accepting new patients
Millcreek Community Hospital Podiatrist CurrentSince Apr 21, 2024 Accepting new patients
Clinical Practice of Lecom Institute for Successful Living Podiatrist Past Accepting new patients
Medical Associates of Erie Past Accepting new patients
Corry Memorial Hospital Association Past Accepting new patients
Osteopathic Internal Medicine Associates Inc. Past Accepting new patients
Clinical Practice of Lecom Institute for Successful Living Past Accepting new patients

Locations

210 E State St
Albion, PA 16401
Phone (814) 756-3434

300 York St
Corry, PA 16407
Phone (814) 664-3979

965 Shamrock Ln
Corry, PA 16407
Phone (814) 644-4641

5401 Peach St
Ste 3600
Erie, PA 16509
Phone (814) 868-2170

1 Lecom Pl
Erie, PA 16505

2625 Parade St
Erie, PA 16504
Phone (814) 452-6383

5401 Peach St
Erie, PA 16509
Phone (814) 868-2170

5535 Peach St
Erie, PA 16509
Phone (814) 868-3488

2010 W 38th St
Lowr
Erie, PA 16508
Phone (814) 868-5481

5401 Peach St
Ste 3400
Erie, PA 16509
Phone (814) 868-2200

149 W 22nd St
Erie, PA 16502
Phone (814) 452-3271

2820 W 12th St
Erie, PA 16505
Phone (814) 833-8800

537 W 18th St
#18
Erie, PA 16502
Phone (814) 456-1009

5535 Peach St
Fl 1
Erie, PA 16509
Phone (814) 868-3488

5515 Peach St
Erie, PA 16509
Phone (814) 864-4031

9040 Wattsburg Rd
Erie, PA 16509
Phone (814) 737-0833

1009 Water St
Meadville, PA 16335
Phone (814) 337-2273

Interoperability endpoints

  • Direct secure messaging: cyoritobia@lisl.medentdirect.com
  • Direct secure messaging: cyori24@maoeim-pa.direct.office.nextgen.com

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 20

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1598147290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8307 NW 88TH AVE",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211539",
            "telephone_number": "954-721-3411",
            "fax_number": "954-721-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8307 NW 88TH AVE",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "33321",
            "telephone_number": "954-721-3411",
            "fax_number": "954-721-3411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Alton Rd",
            "address_2": "200",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331402948",
            "country_code": "US",
            "telephone_number": "305-893-9366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YORI TOBIA",
        "first_name": "COLETTE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tamarac",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Tamarac",
            "address_1": "8307 NW 88th Ave",
            "city": "Tamarac",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "COLETTE",
            "last_name": "YORI",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "D.P.M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.