Individual provider Active NPI

Robert W Yoachim, M.D.

  • Family Medicine Physician
  • Arkansas City, KS
National Provider Identifier
1598767873
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-18770 Issued in KS
Practice address
510 W Radio LN
Arkansas City, KS 67005-4011
Phone
(620) 442-2100
Fax
(620) 442-8945
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-18770 KS Primary

Addresses

Primary practice location

510 W Radio LN
Arkansas City, KS 67005-4011

Mailing address

510 W Radio LN
Arkansas City, KS 67005-4011
Phone (620) 442-2100

Other identifiers 1

IdentifierTypeStateIssuer
100196240AMedicaidKS

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

LicenseStateTypeSpecialty
04-18770KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kay County Clinic Company LLC Family Medicine Current Accepting new patients

Locations

510 W Radio Ln
Arkansas City, KS 67005
Phone (620) 442-2100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1598767873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W RADIO LN",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670054011",
            "telephone_number": "620-442-2100",
            "fax_number": "620-442-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W RADIO LN",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670054011",
            "telephone_number": "620-442-2100",
            "fax_number": "620-442-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOACHIM",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-18770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100196240A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arkansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.