Organization Active NPI

Dr Fredrick L Yost, LLC

  • Surgery Physician
  • Honolulu, HI
National Provider Identifier
1982887279
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD-8791 Issued in HI
Legal business name
DR FREDRICK L YOST, LLC
Practice address
1380 Lusitana St Ste 614
Honolulu, HI 96813-2442
Phone
(808) 535-9678
Fax
(808) 423-1109
NPI assigned
Dec 10, 2007
Last updated
Aug 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Authorized official

Name
Fredrick L Yost, M.D.NPI 1821059353
Title
President
Phone
(808) 421-9678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD-8791 HI Primary

Addresses

Primary practice location

1380 Lusitana St Ste 614
Honolulu, HI 96813-2442

Mailing address

1508 Lehia St
Honolulu, HI 96818-1829
Phone (808) 421-9678

Other identifiers 2

IdentifierTypeStateIssuer
25296601MedicaidHI
00C0218150OtherHIHMSA

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1982887279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 LEHIA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968181829",
            "telephone_number": "808-421-9678",
            "fax_number": "808-423-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST STE 614",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132442",
            "telephone_number": "808-535-9678",
            "fax_number": "808-423-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR FREDRICK L YOST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "YOST",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-421-9678",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "HI",
            "license": "MD-8791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25296601",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00C0218150",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.