1689965949 NPI number — DR. YU HONG M.D.

Table of content: DR. YU HONG M.D. (NPI 1689965949)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689965949 NPI number — DR. YU HONG M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HONG
Provider First Name:
YU
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689965949
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/12/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10800 E GEDDES AVE STE 300
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ENGLEWOOD
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80112-3895
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-761-9190
Provider Business Mailing Address Fax Number:
720-874-4462

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10800 E GEDDES AVE STE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ENGLEWOOD
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80112-3895
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-761-9190
Provider Business Practice Location Address Fax Number:
720-874-4462
Provider Enumeration Date:
04/21/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X , with the licence number:  P6421 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 036140085 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 29847 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 04-39648 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: MD19108 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 57895 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 561538YQPG . This is a "MEDICARE PIN" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 561538YQ33 . This is a "MEDICARE PIN" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: KA3249090 . This is a "MEDICARE PIN" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: NA1215113 . This is a "MEDICARE PIN" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: NA2517091 . This is a "MEDICARE PIN" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 1689965949 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: NA1214111 . This is a "MEDICARE PIN" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 111257099 . This is a "MEDICARE PIN" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 561538YQN9 . This is a "MEDICARE PIN" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 561538ZLJ3 . This is a "MEDICARE PIN" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".




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