Active NPI
Maryann Castro Yamamoto, M.D.
- Internal Medicine Physician
- Canton, MI
National Provider Identifier
1962570408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301066441
- Practice address
- Henry Ford Health System
6100 Haggerty Road
Canton, MI 48187 - Phone
- (734) 981-3200
- Fax
- (734) 981-4354
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301066441 | MI | Primary |
| Pediatrics Physician | 208000000X | 4301066441 | MI |
Addresses
Primary practice location
Henry Ford Health System
6100 Haggerty Road
Canton, MI 48187
Mailing address
Henry Ford Health System
6100 Haggerty Road
Canton, MI 48187
Phone (734) 981-3200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MY066441 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
| MY066441 | Other | CHAMPUS-CHAMPUS |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301066441 | MI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1962570408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HENRY FORD HEALTH SYSTEM",
"address_2": "6100 HAGGERTY ROAD",
"city": "CANTON",
"state": "MI",
"postal_code": "48187",
"telephone_number": "734-981-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HENRY FORD HEALTH SYSTEM",
"address_2": "6100 HAGGERTY ROAD",
"city": "CANTON",
"state": "MI",
"postal_code": "48187",
"telephone_number": "734-981-3200",
"fax_number": "734-981-4354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMAMOTO",
"first_name": "MARYANN",
"middle_name": "CASTRO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301066441",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301066441",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "MY066441",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "MY066441",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.