Individual provider Active NPI

Joanna Yu Yao, MD

  • Pediatrics Physician
  • Tallahassee, FL
National Provider Identifier
1912962648
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME73550 Issued in FL
Practice address
1840 Capital Medical CT
Tallahassee, FL 32308-4468
Phone
(850) 878-0550
Fax
(850) 878-0587
NPI assigned
Apr 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME73550 FL Primary

Addresses

Primary practice location

1840 Capital Medical CT
Tallahassee, FL 32308-4468

Mailing address

1840 Capital Medical CT
Tallahassee, FL 32308-4468
Phone (850) 878-0550

Other identifiers 1

IdentifierTypeStateIssuer
41410OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060824000270 FL Practitioner - Pediatric Medicine 8224031653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardinal Healthcare PLLCGroup PAC ID 3779586102, 2 clinicians

Practice addresses (Care Compare)

1840 Capital Medical CT
Tallahassee, FL 32308-4468
Phone (850) 878-0550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cardinal Healthcare, PLLC Pediatrics CurrentSince Jun 1, 2006 Accepting new patients

Locations

1840 Capital Medical Ct
Tallahassee, FL 32308
Phone (850) 878-0550

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1912962648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 CAPITAL MEDICAL CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084468",
            "telephone_number": "850-878-0550",
            "fax_number": "850-878-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 CAPITAL MEDICAL CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084468",
            "telephone_number": "850-878-0550",
            "fax_number": "850-878-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAO",
        "first_name": "JOANNA",
        "middle_name": "YU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME73550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "41410",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.