Individual provider Active NPI

James Michael Yohanan, M.D.

  • Otolaryngology Physician
  • Colorado Springs, CO
National Provider Identifier
1982644191
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
37316 Issued in CO
Practice address
3030 N Circle Dr
Ste 300
Colorado Springs, CO 80909-1177
Phone
(719) 867-7800
Fax
(719) 867-7899
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 37316 CO Primary

Addresses

Primary practice location

3030 N Circle Dr
Ste 300
Colorado Springs, CO 80909-1177

Mailing address

PO Box 9190
Colorado Springs, CO 80932-0190
Phone (719) 867-7800

Other identifiers 1

IdentifierTypeStateIssuer
01373166MedicaidCO

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

LicenseStateTypeSpecialty
37316COMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kissing Camels Surgery Center, LLC PastSince Nov 9, 2010 Accepting new patients
Colorado Center for Otolaryngology, Professional LLC Otolaryngology Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1982644191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9190",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809320190",
            "telephone_number": "719-867-7800",
            "fax_number": "719-867-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 N CIRCLE DR",
            "address_2": "STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091177",
            "telephone_number": "719-867-7800",
            "fax_number": "719-867-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOHANAN",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "37316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01373166",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.