Yasmeen Islam MD PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME78276 Issued in FL

Legal business name

YASMEEN ISLAM MD PA

Practice address

3400 Tamiami TRL
Suite 102
Port Charlotte, FL 33952-8102

Phone

(941) 625-5855

Fax

(941) 625-7123

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Yasmeen M Islam, MD PA

Title

Owner/Physician

Phone

(941) 625-5855

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1952349698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 TAMIAMI TRL",
            "address_2": "SUITE 102",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528102",
            "telephone_number": "941-625-5855",
            "fax_number": "941-625-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 TAMIAMI TRL",
            "address_2": "SUITE 102",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528102",
            "telephone_number": "941-625-5855",
            "fax_number": "941-625-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASMEEN ISLAM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "ISLAM",
        "authorized_official_first_name": "YASMEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "941-625-5855",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME78276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "49858",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263441400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Krista Yapp-Cooper, LMFT
• Judy Kay Yates Marshall, D.M.D.
• Olivia Yong
• Jamie Young, CRNA, ARNP
• Ashley Nicole Younkman-Reynolds, D.M.D
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• Obstetrics & Gynecology Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.