Active NPI
Stephen Yoo, M.D.
- Dermatology Physician
- Arlington, TX
National Provider Identifier
1881741874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- M3433
- Practice address
- 801 Road to Six Flags W
Suite 139
Arlington, TX 76012-2616 - Phone
- (817) 265-1356
- Fax
- (817) 261-4309
- NPI assigned
- Jan 4, 2007
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | M3433 | TX | Primary |
Addresses
Primary practice location
801 Road to Six Flags W
Suite 139
Arlington, TX 76012-2616
Mailing address
801 Road to Six Flags W
Suite 139
Arlington, TX 76012-2616
Phone (817) 265-1356
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 |
|---|---|---|---|
| M3433 | TX | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881741874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 ROAD TO SIX FLAGS W",
"address_2": "SUITE 139",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760122616",
"telephone_number": "817-265-1356",
"fax_number": "817-261-4309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 ROAD TO SIX FLAGS W",
"address_2": "SUITE 139",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760122616",
"telephone_number": "817-265-1356",
"fax_number": "817-261-4309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOO",
"first_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "M3433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.