Dong Ho Yoo, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301040403 Issued in MI

Practice address

1359 Kings Carriage Rd
Grand Blanc, MI 48439-8786

Phone

(810) 240-9475

Fax

(810) 695-5192

NPI assigned

Oct 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244419200000",
    "number": "1720078546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1235",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484803235",
            "telephone_number": "810-240-9475",
            "fax_number": "810-695-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 KINGS CARRIAGE RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398786",
            "telephone_number": "810-240-9475",
            "fax_number": "810-695-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "DONG",
        "middle_name": "HO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2009-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301040403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "2602500582",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2117281",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Yambura
• Curtis Yapchai, MD
• Alanna Lynn Yapo, NP
• Shiguftha Yasmeen
• Charles W Yee, M.D.
• John Yoon
• You Be Well II PC
• Alyssa Young
• Isaac Young
• Kevin Youngs, M.D.

• Psychiatry Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.