Yehia I Elsafy M D P L C

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301045260 Issued in MI

Legal business name

YEHIA I ELSAFY M D P L C

Practice address

2425 Military St
Building #1
Port Huron, MI 48060-6692

Phone

(810) 985-6680

Fax

(810) 985-6809

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Yehia Ibraham Elsafy, M.D.NPI 1134176878

Title

Owner

Phone

(810) 985-6680

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Yehia I Elsafy M D P L C Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yehia Ibraham Elsafy, MD

  • Internal Medicine Physician
  • Port Huron, MI
  • NPI 1134176878

  MI

  Medicare reassignment NPD Authorized official
• Emily Jean Puzan, NP

  • Family Nurse Practitioner
  • Deckerville, MI
  • NPI 1891351672
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1790715480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4296 GRATIOT AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480601599",
            "telephone_number": "810-985-6680",
            "fax_number": "810-985-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 MILITARY ST",
            "address_2": "BUILDING #1",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606692",
            "telephone_number": "810-985-6680",
            "fax_number": "810-985-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEHIA I ELSAFY M D P L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "ELSAFY",
        "authorized_official_first_name": "YEHIA",
        "authorized_official_middle_name": "IBRAHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-985-6680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301045260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "110741052",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4712788",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yehia I Elsafy M D P L C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mohamed Furhan Yacub, MD
• Mary Yadon
• Daniel Yankee, PTA
• Angela Yassa
• Cindy S Yeager
• Guna Yerrabolu, MD
• Carrie Ann Yochum
• Young Men'S Christian Association of the Blue Water Area
• Gwenda Louise Young, LPC
• Janene Desiree Young

• All providers in Port Huron, MI
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.