Nicole Yaldoo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601010270 Issued in MI

Practice address

7035 Orchard Lake Rd Ste 200
West Bloomfield, MI 48322-3650

Phone

(248) 973-8408

NPI assigned

Oct 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2023 through Apr 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• A3 Medical

  • Internal Medicine Physician
  • Bloomfield, MI
  • NPI 1366798373
  NPD (past)

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1821698127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7035 ORCHARD LAKE RD STE 200",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223650",
            "telephone_number": "248-973-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 ORCHARD LAKE RD STE 200",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223650",
            "telephone_number": "248-973-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YALDOO",
        "first_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Anne Yaldo, M.A.
• Faiha Yaldo
• Hannah Yaldo, PA-C
• Rand Yaldo, PHARMD
• Shawn Yaldo
• Yahong Yang
• Reeva Yatooma, PA-C
• Cenique Yeldell, RD
• Arjun Reddy Yerasi
• Chong U Yi, MD

• Physician Assistant in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.