Active NPI
J Paul Yurkanin
- Urology Physician
- Tucson, AZ
National Provider Identifier
1972597771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 31170
- Legal business name
- J PAUL YURKANIN
- Practice address
- 5240 E Knight Dr
Suite 108
Tucson, AZ 85712-2122 - Phone
- (520) 321-4266
- Fax
- (520) 321-4048
- NPI assigned
- Sep 7, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Paul Yurkanin, MD
- Title
- MD/President
- Phone
- (520) 321-4266
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 31170 | AZ | Primary |
Addresses
Primary practice location
5240 E Knight Dr
Suite 108
Tucson, AZ 85712-2122
Mailing address
5240 E Knight Dr
Suite 108
Tucson, AZ 85712-2122
Phone (520) 321-4266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 855439 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Tucson, AZ
- NPI 1144409145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402012800000",
"number": "1972597771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5240 E KNIGHT DR",
"address_2": "SUITE 108",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122122",
"telephone_number": "520-321-4266",
"fax_number": "520-321-4048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5240 E KNIGHT DR",
"address_2": "SUITE 108",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122122",
"telephone_number": "520-321-4266",
"fax_number": "520-321-4048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J PAUL YURKANIN",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-07",
"last_updated": "2014-06-06",
"status": "A",
"authorized_official_last_name": "YURKANIN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "MD/PRESIDENT",
"authorized_official_telephone_number": "520-321-4266",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "AZ",
"license": "31170",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "855439",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.