JACK C YU


Address: 1120 15th St, Augusta, GA 30912-0004
Phone: 7067212198

JACK C YU (NPI# 1538270210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538270210
Entity Type Individual
Full Name JACK C YU
Credential MD
Practice Address 1120 15th St
Augusta
GA 30912-0004
Mailing Address 1499 Walton Way
Ste 1400
Augusta
GA 30901-2602
Practice Telephone 7067212198
Practice Fax Number 7067215748
Mailing Telephone 7067246100
Mailing Fax Number 7067215187
Enumeration Date 2006-08-31
Last Update Date 2011-05-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208200000X Plastic Surgery 038656 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 000164436C 05
SC G38656 05

Other Providers JACK YU

NPI Name Taxonomy Address Enumeration
1851505507 Jack Tzey-in Yu Dentist 13768 Roswell Ave, 210, Chino, CA 91710-1401 2007-05-10
1518026178 Jack Yu Neuromusculoskeletal Medicine & OMM 9961 Sierra Ave, Fontana, CA 92335-6720 2006-12-08
1265485684 Jack N Yu Family Medicine 801 S Chevy Chase Dr Ste 230, Glendale, CA 91205-4436 2006-05-18

Office Location

Street Address 1120 15TH ST
City AUGUSTA
State GA
Zip Code 30912-0004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427051556 Gyanendra Kumar Sharma Internal Medicine 1120 15th St, Augusta, GA 30912-0004 2005-05-23
1912508532 Lacey Nichol Preston Physician Assistant 1120 15th St, Augusta, GA 30912-0004 2020-11-02
1992302988 Victoria Mae Pregibon Physician Assistant 1120 15th St, Augusta, GA 30912-0004 2020-10-03
1275130239 Tanya Renee Hall Nurse Practitioner 1120 15th St, Augusta, GA 30912-0004 2020-10-02
1144847864 Cassandra Marie Voong Internal Medicine 1120 15th St, Augusta, GA 30912-0004 2020-06-29
1245857002 Morgan Rowe Nurse Practitioner 1120 15th St, Augusta, GA 30912-0004 2020-06-28
1639795990 Lauren Christine Bush Audiologist 1120 15th St, Augusta, GA 30912-0004 2020-06-23
1811513575 Ashley Danielle Fox Internal Medicine 1120 15th St, Augusta, GA 30912-0006 2020-06-18
1265058994 Matthew Craddock Psychiatry & Neurology 1120 15th St, Augusta, GA 30912-0004 2020-06-18
1437775301 Joseph John Arellano Emergency Medicine 1120 15th St, Augusta, GA 30912-0004 2020-06-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548885940 Hannah Gullickson Folsom Family Medicine 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 2020-06-11
1487278909 Robert Kennedy Internal Medicine Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 2020-06-01
1952968737 Kayla M. Lasota Pediatrics 11230 115th St Ae3042, Augusta, GA 30912 2019-05-28
1003379280 Kayla Cox Internal Medicine 1120 15th St Bi5070, Augusta, GA 30912 2019-04-13
1619435740 Justin Ray Mackert Student in an Organized Health Care Education/Training Program Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 2019-03-07
1417444167 Victor Celis Dentist John Wesley Gilbert Dr, Augusta, GA 30912 2018-04-18
1487157921 Julie Ann Matsen Student in an Organized Health Care Education/Training Program 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 2018-03-12
1497287031 Luke Yuung-jier Chang Ophthalmology 1120 15th St # Ba2720, Augusta, GA 30912 2017-04-02
1821537622 Lashawn Kay Boone Nurse Practitioner 1445 Harper St, Augusta, GA 30912 2017-02-14
1134675564 Arnab Saha Internal Medicine 1120 15 Th St., Augusta, GA 30912 2016-08-26
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Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366892705 Muamer Mirza Mujadzic Plastic Surgery 3547 Interlachen Dr, Augusta, GA 30907-9528 2016-06-16
1972711844 Nicholas Jones Plastic Surgery 1467 Harper St, Hb 5040, Augusta, GA 30901-2600 2007-05-21
1346301231 Robert Charles Dinsmore Plastic Surgery Georgia Regents University Plastic Surgery, 1467 Harper Street, Hb5040, Augusta, GA 30912-0004 2006-12-13
1306853916 Gerald J Khachi Plastic Surgery 1467 Harper Street, Augusta, GA 30912 2006-08-03
1710249966 Gary Williamson, M.d., P.C. Plastic Surgery 2258 Wrightsboro Rd, Suite 180, Augusta, GA 30904-4887 2012-06-13
1285898247 Mouchammed Agko Plastic Surgery 1120 15th St, Augusta, GA 30912-2570 2008-07-17
1184807679 Kenna S. Given, Md PC Plastic Surgery 1120 15th St, Augusta, GA 30912-0004 2007-12-07
1851411490 Plastic and Reconstructive Surgery PC Plastic Surgery 1433 Stovall St, Augusta, GA 30904-4883 2007-03-29
1053473504 Juan Manuel Lopez Plastic Surgery 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909-1868 2006-12-14
1982793378 Edmond F. Ritter Plastic Surgery 1120 15th St, Augusta, GA 30912-0004 2006-10-12
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Competitor

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City AUGUSTA
Zip Code 30912

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Dataset Information

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.

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