Active NPI
Joses K H Yuan, M.D.
- Family Medicine Physician
- Toledo, OH
National Provider Identifier
1871586867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35033986
- Practice address
- 635 N Erie St
RM. 272
Toledo, OH 43604-5317 - Phone
- (419) 213-4049
- Fax
- (419) 213-4017
- NPI assigned
- Aug 25, 2005
- 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 | 35033986 | OH | Primary |
Addresses
Primary practice location
635 N Erie St
RM. 272
Toledo, OH 43604-5317
Mailing address
635 N Erie St
RM. 272
Toledo, OH 43604-5317
Phone (419) 213-4049
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2018442 | Other | OH | AETNA |
| 8822331 | Medicaid | OH | |
| 00948 | Other | OH | PHC |
| 000000259539 | Other | OH | ANTHEM |
| 01-03573 | Other | OH | UHC |
| 0183091 | Medicaid | OH | |
| 080159499 | Other | OH | RRMC |
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 Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1871586867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 N ERIE ST",
"address_2": "RM. 272",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436045317",
"telephone_number": "419-213-4049",
"fax_number": "419-213-4017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 N ERIE ST",
"address_2": "RM. 272",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436045317",
"telephone_number": "419-213-4049",
"fax_number": "419-213-4017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUAN",
"first_name": "JOSES",
"middle_name": "K H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35033986",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2018442",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8822331",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHC",
"identifier": "00948",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000259539",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "01-03573",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0183091",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "080159499",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.