Active NPI
Tae Yu, DO
- Family Medicine Physician
- Perry, FL
National Provider Identifier
1861440141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS9772
- Practice address
- 315 E Ash St
Perry, FL 32347-2029 - Phone
- (850) 584-3278
- Fax
- (850) 584-8171
- NPI assigned
- May 5, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS9772 | FL | Primary |
Addresses
Primary practice location
315 E Ash St
Perry, FL 32347-2029
Mailing address
PO Box 719
Perry, FL 32348-0719
Phone (850) 584-3278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275494100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
333 N Byron Butler Pkwy
Perry, FL 32347-2300
Phone (850) 584-0643
555 N Byron Butler Pkwy
Perry, FL 32347-2315
Hospital & facility affiliations
- Centerwell Home Health
- NHC Homecare
- Doctors Memorial Hospital Inc
- Lafayette Nursing and Rehabilitation Center
- Doctors Memorial Hospital Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acv Community Services LLC | Current | Accepting new patients | |
| Perry Emergency Physicians LLC | Past | Accepting new patients | |
| Doctors Memorial Hospital Inc | Past | Accepting new patients | |
| Doctors Memorial Hospital Inc | Past | Accepting new patients | |
| Premier Medical Pediatrics Clinic Inc | Past | Accepting new patients | |
| Premier Medical Clinic | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/23008/brand/1/csg/1/fhir/r4
- tae.yu.1@5867.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Surgery Physician
- Perry, FL
- NPI 1285709451
-
- Rural Health Clinic/Center
- Live Oak, FL
- NPI 1174630693
-
- Rural Health Clinic/Center
- Perry, FL
- NPI 1457399982
-
- Rural Health Clinic/Center
- Mayo, FL
- NPI 1487613121
-
- Emergency Medicine Physician
- Perry, FL
- NPI 1285679423
-
- Internal Medicine Physician
- Perry, FL
- NPI 1518926799
-
- Pediatrics Physician
- Perry, FL
- NPI 1831342880
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tallahassee, FL
- NPI 1982634101
-
- Critical Access Hospital
- Perry, FL
- NPI 1427092006
-
- Home Health Agency
- Tallahassee, FL
- NPI 1730888488
-
- Home Health Agency
- Crawfordville, FL
- NPI 1417987140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277424000000",
"number": "1861440141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 719",
"city": "PERRY",
"state": "FL",
"postal_code": "323480719",
"telephone_number": "850-584-3278",
"fax_number": "850-584-8171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E ASH ST",
"city": "PERRY",
"state": "FL",
"postal_code": "323472029",
"telephone_number": "850-584-3278",
"fax_number": "850-584-8171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "TAE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2010-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS9772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "275494100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Perry, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.