Active NPI
Paul T Yoder, MD
- Family Medicine Physician
- Payson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 31473
- Practice address
- 904 N Overlook Cir
Payson, AZ 85541-6601 - Phone
- (928) 363-1173
- Fax
- (928) 363-1173
- NPI assigned
- Oct 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 31473 | AZ | Primary |
Addresses
Primary practice location
904 N Overlook Cir
Payson, AZ 85541-6601
Mailing address
904 N Overlook Cir
Payson, AZ 85541-6601
Phone (928) 363-1173
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0735560 | Other | AZ | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31473 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| North Country Healthcare, Inc. | Family Medicine | Current | Accepting new patients |
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| Nextcare Arizona I JV LLC | Current | Accepting new patients | |
| Nextcare Arizona LLC | Current | Accepting new patients |
Locations
2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172
474 N US Highway 89
Chino Valley, AZ 86323
Phone (520) 636-4355
450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574
1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844
2500 N Rose St
Flagstaff, AZ 86004
Phone (928) 213-6121
399 S Malpais Ln
Ste 100
Flagstaff, AZ 86001
Phone (928) 286-8830
1810 Mesquite Ave
Ste B
Lk Havasu Cty, AZ 86403
Phone (928) 453-4600
126 E Main St
Ste B
Payson, AZ 85541
Phone (928) 472-3700
914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620
9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666
620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700
1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
-
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1073583472
-
- Multi-Specialty Clinic/Center
- Show Low, AZ
- NPI 1073740098
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1619345675
-
- Multi-Specialty Clinic/Center
- Bullhead, AZ
- NPI 1760798680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645920000000",
"number": "1780779991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 N OVERLOOK CIR",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855416601",
"telephone_number": "928-363-1173",
"fax_number": "928-363-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 N OVERLOOK CIR",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855416601",
"telephone_number": "928-363-1173",
"fax_number": "928-363-1173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YODER",
"first_name": "PAUL",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2022-02-27",
"certification_date": "2022-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "31473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "AZ0735560",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Payson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2022; 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.