Trevor Wayne Yardley, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME161501 Issued in FL

Practice address

6780 Manasota Key Rd
Englewood, FL 34223-9263

Phone

(814) 243-6870

Fax

(240) 363-0256

NPI assigned

Oct 18, 2006

Last updated

May 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: trevor.yardley.1@27079.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trevor Yardley PLLC

  • Orthopaedic Surgery Physician
  • Englewood, FL
  • NPI 1144909128
  Medicare reassignment NPD Authorized official
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1902987894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6780 MANASOTA KEY RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342239263",
            "telephone_number": "814-243-6870",
            "fax_number": "240-363-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6780 MANASOTA KEY RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342239263",
            "telephone_number": "814-243-6870",
            "fax_number": "240-363-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARDLEY",
        "first_name": "TREVOR",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD036575E",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME161501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00010633550002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Whitehurst
• Michael E Williams, D.C.
• William Daniel Williams, D.C.
• Megan Danae Witt, RD, LD, CLT
• Laura Ann Woodby
• Andrey Yevtushenko
• Nathaly Zohlandt

• Orthopaedic Surgery Physician in Englewood, FL
• Providers in Englewood, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.