Individual provider Active NPI

Julie K Yaroch, D.O.

  • Internal Medicine Physician
  • Adrian, MI
National Provider Identifier
1932196557
Registry record updated Nov 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101013140 Issued in MI
Practice address
781 Lakeshire TRL
Adrian, MI 49221-1561
Phone
(517) 263-2187
Fax
(517) 263-0024
NPI assigned
Sep 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101013140 MI Primary

Addresses

Primary practice location

781 Lakeshire TRL
Adrian, MI 49221-1561

Mailing address

781 Lakeshire TRL
Adrian, MI 49221-1561
Phone (517) 265-0600

Other identifiers 1

IdentifierTypeStateIssuer
4115464MedicaidMI

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)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5101013140MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates of Adrian PC Internal Medicine Current Accepting new patients
Herrick Memorial Hospital, Inc. PastSince Aug 17, 2015 Accepting new patients
Bixby Hospital Past Accepting new patients

Locations

781 Lakeshire Trl
Adrian, MI 49221
Phone (517) 263-2187

818 Riverside Ave
Adrian, MI 49221
Phone (517) 263-0711

Organizations & group practices 3

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384128000000",
    "number": "1932196557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 LAKESHIRE TRL",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211561",
            "telephone_number": "517-265-0600",
            "fax_number": "517-263-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 LAKESHIRE TRL",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211561",
            "telephone_number": "517-263-2187",
            "fax_number": "517-263-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAROCH",
        "first_name": "JULIE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2013-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101013140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4115464",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.