Active NPI
Marc Yallof, D.O.
- General Practice Physician
- Cape Coral, FL
National Provider Identifier
1801968508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- OS5859
- Practice address
- 1708 Cape Coral Pkwy W
Suite 2
Cape Coral, FL 33914-6985 - Phone
- (239) 333-3333
- Fax
- (239) 333-3332
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | OS5859 | FL | Primary |
Addresses
Primary practice location
1708 Cape Coral Pkwy W
Suite 2
Cape Coral, FL 33914-6985
Mailing address
1708 Cape Coral Pkwy W
Suite 2
Cape Coral, FL 33914-6985
Phone (239) 333-3333
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 Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dwic of Tampa Bay, Inc | General Practice | Past | Accepting new patients |
| Gulf Coast Healthcare Systems Inc | General Practice | Past | Accepting new patients |
| Gulf Coast Healthcare Systems, Inc | Past | Accepting new patients | |
| Lehigh Hma Physician Management, LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Lehigh Acres, FL
- NPI 1134497167
-
- Family Medicine Physician
- Lehigh Acres, FL
- NPI 1366499212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304035200000",
"number": "1801968508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 CAPE CORAL PKWY W",
"address_2": "SUITE 2",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339146985",
"telephone_number": "239-333-3333",
"fax_number": "239-333-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 CAPE CORAL PKWY W",
"address_2": "SUITE 2",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339146985",
"telephone_number": "239-333-3333",
"fax_number": "239-333-3332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YALLOF",
"first_name": "MARC",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2011-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "OS5859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.