NPIMap

Individual provider Active NPI

Samuel Jeffrey Yakish, D.O.

  • Cardiovascular Disease Physician
  • Beaver, PA
National Provider Identifier
1932338316
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS016211 Issued in PA
Practice address
605 Sharon Rd
Beaver, PA 15009-1919
Phone
(724) 773-4502
NPI assigned
Jul 7, 2009
Last updated
Oct 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OT012899 PA
Cardiovascular Disease Physician 207RC0000X 34.012199 OH
Cardiovascular Disease Physician 207RC0000X OS016211 PA Primary

Addresses

Primary practice location

605 Sharon Rd
Beaver, PA 15009-1919

Mailing address

605 Sharon Rd
Beaver, PA 15009-1919
Phone (724) 773-4502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121211000052 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6608028063 Reassigns benefits to 1 organization
I20160803001853 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6608028063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Philadelphia College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 773-6403

12 Quaker Village Shopping Ctr
Suite 2a
Leetsdale, PA 15056-1206
Phone (412) 741-2700

48462 Bell School Rd
Suite a
East Liverpool, OH 43920-9625
Phone (724) 773-3404

500 Sharon Rd
Beaver, PA 15009-1957
Phone (724) 728-8751

605 Sharon Rd
Beaver, PA 15009-1919
Phone (888) 844-8346

720 Blackburn Rd
Sewickley, PA 15143-1459
Phone (412) 749-7127

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT012899PAMDInternal Medicine Physician
OS016211PAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc. Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Heritage Valley Multispecialty Group, Inc. Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Heritage Valley Medical Group, Inc. Cardiovascular Disease Past Accepting new patients

Locations

48462 Bell School Rd
East Liverpool, OH 43920
Phone (330) 385-1770

48462 Bell School Rd
Ste A
East Liverpool, OH 43920
Phone (330) 385-9492

48462 Bell School Rd
Ste C
East Liverpool, OH 43920
Phone (330) 385-0222

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

605 Sharon Rd
Beaver, PA 15009
Phone (724) 728-3302

Interoperability endpoints

  • Direct secure messaging: sjeffreyyakish@hvhs.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1932338316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 SHARON RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091919",
            "telephone_number": "724-773-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 SHARON RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091919",
            "telephone_number": "724-773-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKISH",
        "first_name": "SAMUEL",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT012899",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "34.012199",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS016211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

Verify at the official NPI Registry.