Alfred A. Viyuoh, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2018014707 Issued in MO

Practice address

13013 Fuller Ave
Grandview, MO 64030-2619

Phone

(816) 214-5548

NPI assigned

Jan 6, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1515196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1760999130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18508 KERILL RD",
            "city": "TRIANGLE",
            "state": "VA",
            "postal_code": "221722058",
            "telephone_number": "336-266-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13013 FULLER AVE",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640302619",
            "telephone_number": "816-214-5548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4158 Dale Blvd",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221932225",
            "country_code": "US",
            "telephone_number": "703-680-5959",
            "fax_number": "571-659-2038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIYUOH",
        "first_name": "ALFRED",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-06",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2017033425",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2018014707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Universal Connection Healthcare Agency
• US Medgroup of Kansas PA
• Valudental Truman Corners Russell LLC
• Venus Van Horn
• Melissa Vaughns-Guein, LCSW, LSCSW
• Walgreen Co
• Wasse Zafer DC, LLC
• Kira Weber, DPT
• Keith Alan White, MA.LPC / LCPC
• Zsavonda White

• Family Medicine Physician in Grandview, MO
• Providers in Grandview, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.