Active NPI
Eugene W Yates, MD
- Pediatric Emergency Medicine (Pediatrics) Physician
- St Paul, MN
National Provider Identifier
1700963840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- 43836
- Practice address
- 345 North Smith Avenue
Childrens Hospitals and Clinics of Minnesota Emergency
St Paul, MN 55102 - Phone
- (651) 220-6914
- NPI assigned
- Nov 1, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 43836 | MN | |
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | 43836 | MN | |
| Pediatrics Physician | 208000000X | 43836 | MN | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 43836 | MN | Primary |
Addresses
Primary practice location
345 North Smith Avenue
Childrens Hospitals and Clinics of Minnesota Emergency
St Paul, MN 55102
Mailing address
2910 Centre Pointe Drive
Childrens Health Care 35 121a
Roseville, MN 55113
Phone (651) 855-2327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 440060700 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ecc Addiction & Toxicology Services LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Medical Toxicology (Emergency Medicine) Physician
- Minneapolis, MN
- NPI 1629532429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271894400000",
"number": "1700963840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 CENTRE POINTE DRIVE",
"address_2": "CHILDRENS HEALTH CARE 35 121A",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "55113",
"telephone_number": "651-855-2327",
"fax_number": "651-855-2310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 NORTH SMITH AVENUE",
"address_2": "CHILDRENS HOSPITALS AND CLINICS OF MINNESOTA EMERGENCY",
"city": "ST PAUL",
"state": "MN",
"postal_code": "55102",
"telephone_number": "651-220-6914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATES",
"first_name": "EUGENE",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2010-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "43836",
"primary": false
},
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "MN",
"license": "43836",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "43836",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "MN",
"license": "43836",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "440060700",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.