Mary a Yurko MD Dermatology PLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

4301066888 Issued in MI

Legal business name

MARY A YURKO MD DERMATOLOGY PLC

Practice address

833 Michigan St NE
Suite 102
Grand Rapids, MI 49503-3523

Phone

(616) 459-1440

Fax

(616) 459-0313

NPI assigned

Dec 13, 2012

Organization subpart

No

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

Authorized official

Name

Mary A Yurko, MD

Title

Member

Phone

(616) 459-1440

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1649516907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 ROSEWOOD AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495063362",
            "telephone_number": "616-459-1440",
            "fax_number": "616-459-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 MICHIGAN ST NE",
            "address_2": "SUITE 102",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033523",
            "telephone_number": "616-459-1440",
            "fax_number": "616-459-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY A YURKO MD DERMATOLOGY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "YURKO",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "616-459-1440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301066888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Joy Marvin, LMSW
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• Rajesh Marwaha, P.T.
• Ilanit Marx, DNP
• Mary Bernona Stevens DDS, PLLC
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• Mary Free Bed Hospital and Rehabiliation Center
• Mary Free Bed Hospital and Rehabilitation

• Dermatology Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.