John K Yacoub, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

D0030010 Issued in MD

Practice address

1001 Pine Heights Ave
Suite 203
Baltimore, MD 21229-5208

Phone

(410) 644-1454

Fax

(410) 525-8645

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1902903826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21182",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212280682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PINE HEIGHTS AVE",
            "address_2": "SUITE 203",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295208",
            "telephone_number": "410-644-1454",
            "fax_number": "410-525-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACOUB",
        "first_name": "JOHN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0030010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST-DC",
            "identifier": "0049",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST-MD",
            "identifier": "351970-04",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Y2M Therapy Partners
• Eleonor Yabut, MD
• Mark John Fernando Yaco, PT, DPT
• Jean Thomas Yacono, LCSW-C
• Anne Damian Yacoub, MD
• Michael Yacovelli, M.D.
• Robert M. Yacynych, MD
• Sara Yacyshyn, MD
• Anju Yadav, MD
• Hardik Yadav, M.D.

• Obstetrics & Gynecology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Obstetrics & Gynecology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.