DR. JIN SOON YEOH (NPI# 1417190901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417190901 |
| Entity Type | Individual |
| Full Name | DR. JIN SOON YEOH |
| Credential | MD |
| Practice Address |
631 Professional Dr Ste 490 Lawrenceville GA 30046-3370 |
| Mailing Address |
1930 Brannan Rd Mcdonough GA 30253-4310 |
| Practice Telephone | 7709950424 |
| Practice Fax Number | 7705137334 |
| Mailing Telephone | 6782844040 |
| Mailing Fax Number | 6782844076 |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2019-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 72519 | GA | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | A118495 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
631 PROFESSIONAL DR STE 490 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-3370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992768840 | Douglas A Nyhoff | Urology | 631 Professional Dr Ste 490, Lawrenceville, GA 30046-3370 | 2006-04-11 |
| 1245875236 | Georgia Urology, Pa | Urology | 631 Professional Dr Ste 490, Lawrenceville, GA 30046-3370 | 2019-11-13 |
| 1184633778 | North Atlanta Urology Assoc PC | Urology | 631 Professional Dr Ste 490, Lawrenceville, GA 30046 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| 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 |
|---|---|---|---|---|
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1760826952 | David Zhang Qi | Urology | 501 Crownpointe Way, Lawrenceville, GA 30046 | 2013-04-18 |
| 1992768840 | Douglas A Nyhoff | Urology | 631 Professional Dr Ste 490, Lawrenceville, GA 30046-3370 | 2006-04-11 |
| 1033195391 | Russell M Freid | Urology | 2 Princess Rd Ste J, Lawrenceville Urology, Lawrenceville, NJ 08648-2320 | 2005-12-19 |
| 1245875236 | Georgia Urology, Pa | Urology | 631 Professional Dr Ste 490, Lawrenceville, GA 30046-3370 | 2019-11-13 |
| 1609295666 | Alex M Arnouk | Urology | 2 Princess Rd Ste J, Lawrenceville, NJ 08648-2320 | 2014-04-07 |
| 1992946792 | Georgia Urology Pa | Urology | 720 Old Snellville Hwy, Suite 100, Lawrenceville, GA 30044-6216 | 2009-03-09 |
| 1982875829 | Michael S Cohen | Urology | 2 Princess Rd, Suite J, Lawrenceville, NJ 08648-2320 | 2008-03-19 |
| 1760660179 | North Atlanta Urology Assoc PC | Urology | 631 Professional Dr, Suite 490, Lawrenceville, GA 30046-3367 | 2008-02-07 |
| 1053536243 | Georgia Urology Pa | Urology | 500 Medical Center Blvd, Suite 220, Lawrenceville, GA 30046 | 2007-04-15 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on DR. JIN SOON YEOH.
| 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.