Issam F Yared, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

22334 Issued in KY

Practice address

2355 Poplar Level Rd
Suite 305
Louisville, KY 40217-1395

Phone

(502) 634-0072

Fax

(502) 636-7130

NPI assigned

Jan 11, 2007

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Louisville Heart Surgery, PLLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Louisville, KY
  • NPI 1659598159
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1962552240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 RIVER RD STE 302",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402063040",
            "telephone_number": "502-814-3184",
            "fax_number": "502-814-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 POPLAR LEVEL RD",
            "address_2": "SUITE 305",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171395",
            "telephone_number": "502-634-0072",
            "fax_number": "502-636-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARED",
        "first_name": "ISSAM",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "KY",
            "license": "22334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64223340",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDCARE KY",
            "identifier": "P00321310",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda M Yarberry, PHARM.D
• Demetra Renee Yarbrough
• Karona R Yarbrough, FNP-C
• Stephanie Dawn Yarbrough, PHARMD
• Taretha Laurel Yarbrough, BSSW, TCM
• Katherine Yared, MD
• Christine Renee Yarmuth, D.MIN., LMFT, LMHC
• Hassaan Yasin, M.D.
• Muhammad Yasin, MD
• Maria Luisa Yason

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.