Active NPI
Timothy Yourk, CRNA
- Certified Registered Nurse Anesthetist
- Temple, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP138013
- Practice address
- 2401 S 31St St
Temple, TX 76508 - Phone
- (254) 724-2111
- NPI assigned
- Jul 21, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP138013 | TX | Primary |
Addresses
Primary practice location
2401 S 31St St
Temple, TX 76508
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Other practice location 1
9040 Reid St
Joint Base Lewis McChord, WA 98431-1100
Phone (253) 968-2252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1029 Makolu St
Suite H
Pearl City, HI 96782-2890
Phone (808) 456-6420
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Anesthesia, Inc | Current | Accepting new patients | |
| Pec Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1401 S Beretania St
Ste 200
Honolulu, HI 96814
Phone (808) 312-6700
321 N Kuakini St
Ste 306
Honolulu, HI 96817
Phone (808) 545-1557
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
1029 Makolu St
Ste H
Pearl City, HI 96782
Phone (808) 456-6420
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Pearl City, HI
- NPI 1528305208
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Honolulu, HI
- NPI 1538472451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563321600000",
"number": "1700261708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 S 31ST ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "76508",
"telephone_number": "254-724-2111"
}
],
"practiceLocations": [
{
"address_1": "9040 Reid St",
"address_purpose": "LOCATION",
"city": "Joint Base Lewis McChord",
"state": "WA",
"postal_code": "984311100",
"country_code": "US",
"telephone_number": "253-968-2252",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOURK",
"first_name": "TIMOTHY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-21",
"last_updated": "2019-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP138013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.