Active NPI
Joseph Yao, M.D.
- Surgery Physician
- Blytheville, AR
National Provider Identifier
1720035793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- E0053
- Practice address
- 526 Chickasawba St
Blytheville, AR 72315-2722 - Phone
- (870) 762-2447
- Fax
- (870) 762-0385
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | E0053 | AR | Primary |
| Trauma Surgery Physician | 2086S0127X | E0053 | AR |
Addresses
Primary practice location
526 Chickasawba St
Blytheville, AR 72315-2722
Mailing address
526 Chickasawba Street
Blytheville, AR 72315-1405
Phone (870) 762-2447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080306000321 | AR | Practitioner - Orthopedic Surgery | 0648355230 | Practice locations: Blytheville, AR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0053 | AR | MD | Trauma Surgery Physician |
Interoperability endpoints
- jyao@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1720035793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 CHICKASAWBA STREET",
"city": "BLYTHEVILLE",
"state": "AR",
"postal_code": "723151405",
"telephone_number": "870-762-2447",
"fax_number": "870-762-0385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 CHICKASAWBA ST",
"city": "BLYTHEVILLE",
"state": "AR",
"postal_code": "723152722",
"telephone_number": "870-762-2447",
"fax_number": "870-762-0385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAO",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AR",
"license": "E0053",
"primary": true
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "AR",
"license": "E0053",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blytheville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.