Individual provider Active NPI

Carl J Yoder, M.D.

  • Community Health Worker
  • Goshen, IN
National Provider Identifier
1710163241
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
01020966A Issued in IN
Practice address
423 E Jefferson St
Goshen, IN 46528-3454
Phone
(574) 534-4744
NPI assigned
Jan 15, 2008
Last updated
Jan 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 01020966A IN Primary

Addresses

Primary practice location

423 E Jefferson St
Goshen, IN 46528-3454

Mailing address

423 E Jefferson St
Goshen, IN 46528-3454
Phone (574) 534-4744

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

State licenses

LicenseStateTypeSpecialty
01020966AINMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Health System, Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System, Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System, Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System, Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System, Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System, Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System, Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System, Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System, Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System, Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System, Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System, Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System, Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System, Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System, Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System, Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System, Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System, Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System, Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System, Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System, Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System, Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System, Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System, Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System Inc PastSince Jan 1, 1990 Accepting new patients
Goshen Health System, Inc PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 34

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1710163241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 E JEFFERSON ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465283454",
            "telephone_number": "574-534-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 E JEFFERSON ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465283454",
            "telephone_number": "574-534-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODER",
        "first_name": "CARL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "IN",
            "license": "01020966A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.