Raj Yande, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS013788 Issued in PA

Practice address

633 Maple Ave
Du Bois, PA 15801-2383

Phone

(814) 371-3304

Fax

(814) 371-3305

NPI assigned

Jun 25, 2006

Last updated

Jan 8, 2009By 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

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.

• Mir-Raj Medical, Inc.

  • Family Medicine Physician
  • Du Bois, PA
  • NPI 1376713941
  Authorized official Same address or phone
• Mir-Raj Productions, Inc

  dba Amadi Physical Therapy

  • Physical Therapist
  • Du Bois, PA
  • NPI 1124272810
  Authorized official Same address or phone

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1972539260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 MAPLE AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012383",
            "telephone_number": "814-371-3304",
            "fax_number": "814-371-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 MAPLE AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012383",
            "telephone_number": "814-371-3304",
            "fax_number": "814-371-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANDE",
        "first_name": "RAJ",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS013788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101787053",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "001918051",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Beth Wood, CRNP
• Renee Lee Woodard, CRNP
• Daniel S Woolley, MD
• Ashley Ann Wrigley
• Michele Yale
• Kay S. Yeager
• Molly Elizabeth Yeager
• Jessica Lynn Yebernetsky, CRNP
• Julie Yenzi
• Mandy Lynn Yoder, B. A.

• Family Medicine Physician in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.