Yoon-Sook Stover, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2360 Issued in CO

Practice address

9191 Grant St
Suite 418
Thornton, CO 80229-4361

Phone

(303) 453-2237

Fax

(303) 453-2239

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271116800000",
    "number": "1689741456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S. COLORADO BLVD",
            "address_2": "SUITE 220A",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802461912",
            "telephone_number": "303-453-2237",
            "fax_number": "303-453-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 GRANT ST",
            "address_2": "SUITE 418",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294361",
            "telephone_number": "303-453-2237",
            "fax_number": "303-453-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVER",
        "first_name": "YOON-SOOK",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2010-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56630085",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Stott
• Erin Stotts, MA, LPCC
• Kaley Amaya Stotts
• Richard Henry Stotts, MA LPC
• Nancy Lynn Stoudt, MD
• Lisa Marie Straight, M.A.
• Connie Callander Stratton, CAS
• Laura Ellen Strebeck, FNP-C
• Marie Schubert Strickland, CCC-SLP
• Michael Reid Striplin, M.D.

• Physician Assistant in Thornton, CO
• Providers in Thornton, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.