Individual provider Active NPI

Russell W Yates, DO

  • Psychiatry Physician
  • Norristown, PA
National Provider Identifier
1609940469
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
05012950 Issued in PA
Practice address
50 Beech Drive
Norristown, PA 19403-5421
Phone
(610) 279-6100
Fax
(610) 279-0928
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 05012950 PA Primary

Addresses

Primary practice location

50 Beech Drive
Norristown, PA 19403-5421

Mailing address

50 Beech Drive
Norristown, PA 19403-5421
Phone (610) 279-6100

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040805000136 PA Practitioner - Psychiatry 0244201937 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
05012950PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County MH-Mr Emergency Service CurrentSince Jul 1, 2004 Accepting new patients

Locations

50 Beech Dr
Norristown, PA 19403
Phone (610) 279-6100

Interoperability endpoints

  • Direct secure messaging: russell.yatesdo.p1@direct.cfg.nextgenshare.com

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609940469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BEECH DRIVE",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194035421",
            "telephone_number": "610-279-6100",
            "fax_number": "610-279-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BEECH DRIVE",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194035421",
            "telephone_number": "610-279-6100",
            "fax_number": "610-279-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "RUSSELL",
        "middle_name": "W",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "05012950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norristown, PA

Sources for this page

Verify at the official NPI Registry.