Individual provider Active NPI

John J Yannucci II, MD

  • Family Medicine Physician
  • East Stroudsburg, PA
National Provider Identifier
1790760411
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD490605C Issued in PA
Practice address
179 Independence Rd FL 2
East Stroudsburg, PA 18301-9207
Phone
(570) 421-3900
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD490605C PA Primary
Family Medicine Physician 207Q00000X 2018034961 MO
Family Medicine Physician 207Q00000X ME92786 FL

Addresses

Primary practice location

179 Independence Rd FL 2
East Stroudsburg, PA 18301-9207

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622

Other practice location 1

615 N Bonita Ave
Panama City, FL 32401-3623
Phone (863) 458-0362

Other practice location 2

29 NW 1st Ln
LaMar, MO 64759
Phone (417) 681-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190711003583 MO Practitioner - Family Practice 6507898772 Reassigns benefits to 2 organizations
I20211209000184 TX Practitioner - Hospitalist 6507898772

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018034961MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cox Barton County Hospital CurrentSince Dec 21, 2019 Accepting new patients
Cox Barton County Hospital Current Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
Sebring Hospital Management Associates LLC Past Accepting new patients
Rural Medical Associates Inc Past Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients

Locations

29 NW 1st Ln
Lamar, MO 64759
Phone (417) 681-5266

Interoperability endpoints

  • Direct secure messaging: john.yannucci@hca4.eclinicaldirectplus.com
  • Direct secure messaging: jyann@yourcarecommunity.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1790760411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 INDEPENDENCE RD FL 2",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019207",
            "telephone_number": "570-421-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 N Bonita Ave",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324013623",
            "country_code": "US",
            "telephone_number": "863-458-0362",
            "fax_number": "863-382-2690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29 NW 1st Ln",
            "address_purpose": "LOCATION",
            "city": "LaMar",
            "state": "MO",
            "postal_code": "64759",
            "country_code": "US",
            "telephone_number": "417-681-5100",
            "fax_number": "417-681-5510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANNUCCI",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD490605C",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2018034961",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME92786",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.