Individual provider Active NPI

Yamin K Zaw

  • Family Medicine Physician
  • Pottsville, PA
National Provider Identifier
1619722253
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MT230735 Issued in PA
Practice address
200 Schuylkill Medical PLZ
Pottsville, PA 17901-3660
Phone
(570) 621-9270
NPI assigned
Apr 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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 MT230735 PA Primary

Addresses

Primary practice location

200 Schuylkill Medical PLZ
Pottsville, PA 17901-3660

Mailing address

200 Schuylkill Medical PLZ
Pottsville, PA 17901-3660
Phone (570) 621-9270

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
I20240705000985 PA Order and Referring Only - Family PracticePractitioner - Family Practice 6305380072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MT230735PAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1619722253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SCHUYLKILL MEDICAL PLZ",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013660",
            "telephone_number": "570-621-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SCHUYLKILL MEDICAL PLZ",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013660",
            "telephone_number": "570-621-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAW",
        "first_name": "YAMIN",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT230735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.