Active NPI
Eva L Youshock, MD
- Dermatology Physician
- Rochester Hills, MI
National Provider Identifier
1760417679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 4301049372
- Practice address
- 6700 N Rochester Rd
Ste 212
Rochester Hills, MI 48306 - Phone
- (248) 650-1510
- Fax
- (248) 650-1526
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 4301049372 | MI | Primary |
Addresses
Primary practice location
6700 N Rochester Rd
Ste 212
Rochester Hills, MI 48306
Mailing address
820 Springer Dr
Lombard, IL 60148-6413
Phone (708) 634-4602
Other practice location 1
2785 N Ankeny Blvd Ste 24
Ankeny, IA 50023-4705
Phone (515) 964-5503
Other practice location 2
500 Main St Ste 113
Ames, IA 50010-6083
Phone (515) 232-3006
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 |
|---|---|---|---|
| Audrey Bruell, M.D. P.C. | Dermatology | Current | Accepting new patients |
Locations
37605 Pembroke Ave
Livonia, MI 48152
Phone (734) 591-7931
Interoperability endpoints
- eva.youshock@forefrontdermatology.emadirect.md
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.
-
- Dermatology Physician
- Livonia, MI
- NPI 1306965983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1760417679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 SPRINGER DR",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486413",
"telephone_number": "708-634-4602",
"fax_number": "630-495-1770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 N ROCHESTER RD",
"address_2": "STE 212",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "48306",
"telephone_number": "248-650-1510",
"fax_number": "248-650-1526"
}
],
"practiceLocations": [
{
"address_1": "2785 N Ankeny Blvd Ste 24",
"address_purpose": "LOCATION",
"city": "Ankeny",
"state": "IA",
"postal_code": "500234705",
"country_code": "US",
"telephone_number": "515-964-5503",
"fax_number": "515-232-3009",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Main St Ste 113",
"address_purpose": "LOCATION",
"city": "Ames",
"state": "IA",
"postal_code": "500106083",
"country_code": "US",
"telephone_number": "515-232-3006",
"fax_number": "515-232-3009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUSHOCK",
"first_name": "EVA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MI",
"license": "4301049372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.