KEVIN YANG (NPI# 1336402924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336402924 |
| Entity Type | Individual |
| Full Name | KEVIN YANG |
| Credential | M.D. |
| Practice Address |
1336 Highway 54 W Bldg 200 Fayetteville GA 30214-4574 |
| Mailing Address |
1930 Brannan Rd Mcdonough GA 30253-4310 |
| Practice Telephone | 7704609777 |
| Mailing Telephone | 6782844686 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2019-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 82912 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043660210 | Kevin Yang | Surgery | 827 Congress Ave, Pacific Grove, CA 93950-4808 | 2016-06-17 |
| 1215561287 | Kevin Yang | Acupuncturist | 22 W 48th St Ste 705, New York, NY 10036-1803 | 2020-02-27 |
| 1417489790 | Kevin Christian Delgado Yang | Student in an Organized Health Care Education/Training Program | 200 W Arbor Dr # 8425, San Diego, CA 92103-1911 | 2017-03-28 |
| 1003347345 | Kevin Yang | Student in an Organized Health Care Education/Training Program | 300 Crittenden Blvd, Rochester, NY 14642-0001 | 2017-03-27 |
| 1225303506 | Kevin Yang | Pharmacist | 2800 Ne 162nd Ave, Vancouver, WA 98682-8504 | 2012-03-20 |
| Street Address |
1336 HIGHWAY 54 W BLDG 200 |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-4574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104912054 | Jennifer Goodson | Nurse Practitioner | 1336 Highway 54 W Bldg 200, Fayetteville, GA 30214-4574 | 2006-10-05 |
| 1861026619 | Georgia Urology Piedmont, LLC | Urology | 1336 Highway 54 W Bldg 200, Fayetteville, GA 30214-4574 | 2020-03-02 |
| 1396264008 | Deena Gail Gore | Nurse Practitioner | 1336 Highway 54 W Bldg 200, Fayetteville, GA 30214-4574 | 2017-09-13 |
| 1013334390 | Brittani Linnea Barrett-harlow | Urology | 1336 Highway 54 W Bldg 200, Fayetteville, GA 30214-4574 | 2014-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679581003 | Carolina Lithotripsy Ldt | Urology | 2014 Litho Place, Fayetteville, NC 28304 | 2006-08-03 |
| 1003873050 | Richard D Mcwhorter | Urology | 2 East Appleby Rd., Suite 201, Fayetteville, AR 72703 | 2006-04-26 |
| 1881656924 | Fayetteville Urology Associates Pa | Urology | 1786 Metromedical Drive, Fayetteville, NC 28304 | 2006-04-04 |
| 1801860630 | Philip R Kreitzer | Urology | 4211 Medical Center Dr, Suite 211, Fayetteville, NY 13066-6637 | 2006-02-16 |
| 1861476897 | Nirmal K Kilambi | Urology | 1300 E Zion Rd, Fayetteville, AR 72703-5015 | 2005-12-02 |
| 1013912369 | Albert Vazquez Lugo | Urology | 7300 S Raeford Rd, Fayetteville, NC 28304-6162 | 2005-06-14 |
| 1124022561 | Henry Edward Parfitt Jr. | Urology | 1786 Metromedical Dr, Fayetteville, NC 28304-3861 | 2005-06-13 |
| 1861026619 | Georgia Urology Piedmont, LLC | Urology | 1336 Highway 54 W Bldg 200, Fayetteville, GA 30214-4574 | 2020-03-02 |
| 1548755903 | Cumberland County Hospital System Inc | Urology | 1537 Owen Park Ln, Fayetteville, NC 28304-3454 | 2018-06-28 |
| 1295122315 | Mark William Pickhardt | Urology | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2015-04-16 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.