Yankton Urological Surgery LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

4016 Issued in SD

Legal business name

YANKTON UROLOGICAL SURGERY LLC

Practice address

2009 Locust St
Yankton, SD 57078-2030

Phone

(605) 689-1100

Fax

(605) 689-1104

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Raymond Boudreau, MD

Title

Owner

Phone

(605) 689-1100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tim Downing, PA

  • Medical Physician Assistant
  • Yankton, SD
  • NPI 1790786788
  NPD (past)
• Christopher Allen Hathaway, MD, PHD

  • Urology Physician
  • Yankton, SD
  • NPI 1639392475
  NPD (past)
• Jeffrey J Liudahl, MD

  • Otolaryngology Physician
  • Pierre, SD
  • NPI 1972618924
  NPD (past)
• Daniel Mark Brown, M.D.

  • Urology Physician
  • Olympia, WA
  • NPI 1043203771
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1689779068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 LOCUST ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570782030",
            "telephone_number": "605-689-1100",
            "fax_number": "605-689-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 LOCUST ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570782030",
            "telephone_number": "605-689-1100",
            "fax_number": "605-689-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANKTON UROLOGICAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "BOUDREAU",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-689-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "SD",
            "license": "4016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0007559",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yankton Radiology Prof LLC
• Yankton School Dist. 63-3
• Yankton Surgical Associates PC
• Yankton Transit, Inc
• Yankton Transit, Inc.
• Jonathan Abraham Yazhari, DPM
• Kayla Yazhari, DPM
• Christine Maria Yost
• Darci Young
• James W Young, DO

• Urology Physician in Yankton, SD
• Providers in Yankton, SD by specialty
• Urology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.