Active NPI
Nicholas Cocoros Yeatts, MD
- Anesthesiology Physician
- Cincinnati, OH
National Provider Identifier
1861070815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 57.251015
- Practice address
- 234 Goodman Street
Cincinnati, OH 45219-0796 - Phone
- (513) 558-6356
- Fax
- (513) 558-3474
- NPI assigned
- Mar 31, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 57.251015 | OH | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
234 Goodman Street
Cincinnati, OH 45219-0796
Mailing address
Univ Cincinnati Dept Anesthesiology
3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-4206
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.251015 | OH | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1861070815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNIV CINCINNATI DEPT ANESTHESIOLOGY",
"address_2": "3188 BELLEVUE AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45219",
"telephone_number": "513-558-4206",
"fax_number": "513-558-3474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 GOODMAN STREET",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452190796",
"telephone_number": "513-558-6356",
"fax_number": "513-558-3474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEATTS",
"first_name": "NICHOLAS",
"middle_name": "COCOROS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-31",
"last_updated": "2024-05-22",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "57.251015",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.