Individual provider Active NPI

Anthony George Yug, M.D.

  • Dermatology Physician
  • Greenfield, WI
National Provider Identifier
1811040926
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
31502-020 Issued in WI
Practice address
6790 W Layton Ave
Greenfield, WI 53220-4527
Phone
(414) 325-8500
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 31502-020 WI Primary

Addresses

Primary practice location

6790 W Layton Ave
Greenfield, WI 53220-4527

Mailing address

PO Box 20768
Greenfield, WI 53220-0768
Phone (414) 325-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041025001091 WI Practitioner - Dermatology 5799746806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Wisconsin, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7306 W Layton Ave
Greenfield, WI 53220-3841
Phone (414) 325-8500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions291
Removal of skin cancer51
Removal or shaving of skin growth31
Skin biopsy76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31502-020WIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatologic Surgery Associates CurrentSince Oct 4, 2004 Accepting new patients
Layton Avenue Dermatology Associates, S.C. Dermatology PastSince Sep 15, 2003 Accepting new patients
Skin Care Physicians of Georgia, P.C. Dermatology PastSince Dec 1, 1999 Accepting new patients

Locations

7306 W Layton Ave
Greenfield, WI 53220
Phone (414) 325-8500

6790 W Layton Ave
Milwaukee, WI 53220
Phone (262) 391-8502

Organizations & group practices 3

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811040926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20768",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532200768",
            "telephone_number": "414-325-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6790 W LAYTON AVE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204527",
            "telephone_number": "414-325-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUG",
        "first_name": "ANTHONY",
        "middle_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "31502-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

Verify at the official NPI Registry.