Tony Yan MD PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

MDD002366018 Issued in MD

Legal business name

TONY YAN MD PC

Practice address

6700 Ridge Rd
Suite 3
Baltimore, MD 21237

Phone

(410) 391-3434

Fax

(410) 574-7574

NPI assigned

May 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Tony Yan, MD

Title

Proprietor

Phone

(410) 391-3434

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1699729749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 RIDGE RD",
            "address_2": "SUITE 3",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21237",
            "telephone_number": "410-391-3434",
            "fax_number": "410-574-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 RIDGE RD",
            "address_2": "SUITE 3",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21237",
            "telephone_number": "410-391-3434",
            "fax_number": "410-574-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONY YAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "YAN",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "410-391-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "MDD002366018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "781651100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Otolaryngology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.