Active NPI
Susan Shilan Yang, M.D.
- Family Medicine Physician
- Miramar, FL
National Provider Identifier
1619384674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036.143862
- Practice address
- 3601 SW 160TH Ave Ste 250
Miramar, FL 33027-6314 - Phone
- (877) 866-7123
- NPI assigned
- Jul 22, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 125.066015 | IL | |
| Family Medicine Physician | 207Q00000X | 036.143862 | IL | Primary |
Addresses
Primary practice location
3601 SW 160TH Ave Ste 250
Miramar, FL 33027-6314
Mailing address
1 E Main St
Ste 407
Champaign, IL 61820-3654
Phone (714) 723-2756
Other practice location 1
611 W Park CBLL
Urbana, IL 61801
Phone (714) 723-2756
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036.143862 | IL | MD | Family Medicine Physician |
| 125.066015 | IL | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1619384674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 E MAIN ST",
"address_2": "STE 407",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618203654",
"telephone_number": "714-723-2756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 SW 160TH AVE STE 250",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330276314",
"telephone_number": "877-866-7123"
}
],
"practiceLocations": [
{
"address_1": "611 W Park CBLL",
"address_purpose": "LOCATION",
"city": "Urbana",
"state": "IL",
"postal_code": "61801",
"country_code": "US",
"telephone_number": "714-723-2756",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YANG",
"first_name": "SUSAN",
"middle_name": "SHILAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "125.066015",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036.143862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miramar, FL
- Y a Consulting & Services, Inc
- Y a Consulting & Services, Inc
- Y a Consulting & Services, Inc
- Y a Consulting & Services, Inc
- Yadegari Orthodontics LLC
- Jonathan Michael Yarimi, MD
- Christopher Yateem, PHARMD
- Yaya Behavioral Health, LLC
- Sareen Arakelian Yayla, PHARMD
- Nicole Danielle A Yee-Nicholson, PSY.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.