Organization Active NPI

J Paul Yurkanin

  • Urology Physician
  • Tucson, AZ
National Provider Identifier
1972597771
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
31170 Issued in AZ
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

Updated by the provider on Jun 6, 2014

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)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
855439MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040518001437 AZ Part B Supplier - Clinic/Group Practice 2668463837 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.