Individual provider Active NPI

Woodrow W Yeaney III, M.D.

  • Vascular Surgery Physician
  • Bradenton, FL
National Provider Identifier
1740217116
Registry record updated Jun 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
200401453 Issued in NC
Practice address
4502 Cortez Rd W FL 2
Bradenton, FL 34210-3143
Phone
(941) 243-3991
Fax
(941) 243-3953
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 200401453 NC Primary

Addresses

Primary practice location

4502 Cortez Rd W FL 2
Bradenton, FL 34210-3143

Mailing address

4502 Cortez Rd W
Ste 200
Bradenton, FL 34210-3124
Phone (813) 286-0033

Other identifiers 1

IdentifierTypeStateIssuer
276615900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070111000453 FL Practitioner - General SurgeryPractitioner - Vascular Surgery 3375543531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Pennsylvania State University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3204 Cortez Rd W
Bradenton, FL 34207-1030
Phone (941) 243-3991

Hospital & facility affiliations

  • Mederi Caretenders Home health agency, Bradenton, FL, CCN 108029
  • HCA Florida Blake Hospital Hospital, Bradenton, FL, CCN 100213

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
91.95
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal118
Leg revascularization (restoring blood flow)11
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200401453NCMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Vascular Group of Bradenton, P.L. Vascular Surgery CurrentSince Jul 15, 2012 Accepting new patients

Locations

3204 Cortez Rd W
Bradenton, FL 34207
Phone (941) 243-3991

4502 Cortez Rd W
Fl 2
Bradenton, FL 34210
Phone (941) 243-3991

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHEEBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CHEEBD/Endpoint/CHEEBD

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527984000000",
    "number": "1740217116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 CORTEZ RD W",
            "address_2": "STE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103124",
            "telephone_number": "813-286-0033",
            "fax_number": "813-489-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 CORTEZ RD W FL 2",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103143",
            "telephone_number": "941-243-3991",
            "fax_number": "941-243-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEANEY",
        "first_name": "WOODROW",
        "middle_name": "W",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2018-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NC",
            "license": "200401453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276615900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.