1770576209 NPI number — DR. RACHEL D YANKEY MD

Table of content: DR. RACHEL D YANKEY MD (NPI 1770576209)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770576209 NPI number — DR. RACHEL D YANKEY MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
YANKEY
Provider First Name:
RACHEL
Provider Middle Name:
D
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

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:
1770576209
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/15/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2200 PENFIELD RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PENFIELD
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14526-1711
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
585-922-0060
Provider Business Mailing Address Fax Number:
585-922-0969

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2200 PENFIELD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PENFIELD
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14526-1711
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-922-0060
Provider Business Practice Location Address Fax Number:
585-922-0969
Provider Enumeration Date:
08/30/2005

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: 207Q00000X , with the licence number:  D0063239 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X , with the licence number: 036.131224 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X , with the licence number: 275152 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 269119 . This is a "KAISER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3805687 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7588665 . This is a "AETNA PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 64748001 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2137718 . This is a "MAMSI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0002 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 409982600 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 609635500 . This is a "FEDERAL WORKMANS COMP" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com