Carlo P. Yuson MD PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

20641 Issued in NC

Legal business name

CARLO P. YUSON MD PA

Practice address

1900 S Hawthorne Rd
Suite 358
Winston-Salem, NC 27103-3913

Phone

(336) 768-5131

NPI assigned

Apr 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carlo Pilapil Yuson, M.D.

Title

President

Phone

(336) 768-5131

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1619933637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S.HAWTHORNE ROAD",
            "address_2": "SUITE 358",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-768-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S HAWTHORNE RD",
            "address_2": "SUITE 358",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271033913",
            "telephone_number": "336-768-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLO P. YUSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "YUSON",
        "authorized_official_first_name": "CARLO",
        "authorized_official_middle_name": "PILAPIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-768-5131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "20641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8989885",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Winston-Salem, NC
• Providers in Winston-Salem, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.