Charles Wilbur Yates Jr., M.D. PH.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

D6218 Issued in TX

Practice address

1709 Hawthorn Dr
Richmond, TX 77469-4819

Phone

(713) 502-6917

NPI assigned

Mar 24, 2012

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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.

• Greater Houston Radiology Associates, P.a.

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1104884345
  NPD (past)

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

{
    "created_epoch": "1332547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332547200000",
    "number": "1871869875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 HAWTHORN DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774694819",
            "telephone_number": "713-502-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 HAWTHORN DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774694819",
            "telephone_number": "713-502-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "CHARLES",
        "middle_name": "WILBUR",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D. PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-24",
        "last_updated": "2012-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "D6218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jibril Yakubu, NP
• Kathy Phan Yamakawa, D.D.S.
• Yamzz Medical Supplies Inc
• Qinglong Yang
• Yascarlos Clinic,LLC
• Bernard Yeboah
• Yoseba LLC
• Danielle Young, LPC
• Laurel Paige Young, OTR
• Your Care Down There: an Online STD Clinic

• Diagnostic Radiology Physician in Richmond, TX
• Providers in Richmond, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.