Organization Active NPI

Kenneth C.Y. Yu, MD, PA

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • San Antonio, TX
National Provider Identifier
1629445820
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X
License
P2563 Issued in TX
Legal business name
KENNETH C.Y. YU, MD, PA
Practice address
19288 Stone Oak Pkwy Ste a
San Antonio, TX 78258-3222
Phone
(866) 574-1719
NPI assigned
Aug 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Authorized official

Name
Kenneth Yu, MD
Title
President
Phone
(866) 574-1719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2082S0099X P2563 TX Primary

Addresses

Primary practice location

19288 Stone Oak Pkwy Ste a
San Antonio, TX 78258-3222

Mailing address

19288 Stone Oak Pkwy Ste a
San Antonio, TX 78258-3222
Phone (866) 574-1719

National Provider Directory

National Provider Directory

Locations

21727 Ih 10 W
Ste 218
San Antonio, TX 78257
Phone (210) 876-6868

19288 Stone Oak Pkwy
Ste A
San Antonio, TX 78258
Phone (210) 490-2828

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1629445820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19288 STONE OAK PKWY STE A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583222",
            "telephone_number": "866-574-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19288 STONE OAK PKWY STE A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583222",
            "telephone_number": "866-574-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH C.Y. YU, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-574-1719",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "TX",
            "license": "P2563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.