Peter Yang, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

35049000 Issued in OH

Practice address

5900 Landerbrook Dr
Suite 190
Mayfield Heights, OH 44124-4020

Phone

(440) 461-2550

NPI assigned

Sep 6, 2006

Last updated

Jun 27, 2014By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Consultants in Gastroenterology Inc

  • Clinic/Center
  • Mayfield HTS, OH
  • NPI 1962505842
  Authorized official Same address or phone

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1932202801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "440-461-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 LANDERBROOK DR",
            "address_2": "SUITE 190",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244020",
            "telephone_number": "440-461-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35049000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053979",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Marie Wong, PTA
• Justin Woodhouse, MD
• Allison Wright-Frazier
• Shan Shan Wu, DO
• Laura Ann Wyrock, ACCNS-AG
• Latifah Lurie Yarbrough, LPN
• Blair Young
• Kevin Yu, PT
• Melissa Marie Yusko
• David R Zak, CRNA

• Gastroenterology Physician in Mayfield Heights, OH
• Providers in Mayfield Heights, OH by specialty
• Gastroenterology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.