KENNETH C.Y. YU, MD, PA (NPI# 1629445820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629445820 |
| Entity Type | Organization |
| Organization Name | KENNETH C.Y. YU, MD, PA |
| Practice Address |
19288 Stone Oak Pkwy Ste A San Antonio TX 78258-3222 |
| Practice Telephone | 8665741719 |
| Mailing Telephone | 8665741719 |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |
| Authorized Official Name | KENNETH YU (PRESIDENT) |
| Authorized Official Telephone | 8665741719 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
P2563 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
19288 STONE OAK PKWY STE A |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258-3222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
| 1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
| 1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| Find all providers in zip 78258 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, 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. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265899884 | Donald A. Hollsten, M.d. | Plastic Surgery | 7950 Floyd Curl Dr, Suite 702, San Antonio, TX 78229-3919 | 2016-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821577859 | Taylor Siemens | Plastic Surgery | 17311 Dallas Pkwy Ste 100, Dallas, TX 75248-1149 | 2018-08-10 |
| 1659825602 | Craniofacial Team of Texas Partners | Plastic Surgery | 11412 Bee Cave Road Ste 300, Austin, TX 78738 | 2016-08-08 |
| 1649520917 | Samer Abou Zeid | Plastic Surgery | 3700 Cole Avenue, Apt#405, Dallas, TX 75204-4543 | 2012-09-14 |
| 1922323443 | Eric Scott Rosenberger | Plastic Surgery | 10815 Rr 2222 Bldg 3c, Ste. 101, Austin, TX 78730-1159 | 2010-03-29 |
| 1891921318 | Steven L Crawshaw | Plastic Surgery | 5333 Westheimer Rd, Suite 560, Houston, TX 77056-5411 | 2009-06-10 |
| 1982827366 | Bernardino Antonio Arocha | Plastic Surgery | 3005 Huldy St, Houston, TX 77098-2709 | 2007-04-11 |
| 1871608869 | G. Hunt Neurohr, M.d., P.a. | Plastic Surgery | 6120 Sherry Ln, Dallas, TX 75225-6301 | 2006-08-20 |
| 1801813563 | Abraham Armani | Plastic Surgery | 2928 Oak Lawn Ave, Dallas, TX 75219 | 2006-07-17 |
| 1134175276 | Azul S Jaffer | Plastic Surgery | 6914 Brisbane Court, Suite 300, Sugar Land, TX 77479 | 2006-05-26 |
| 1154319598 | Sean Boutros | Plastic Surgery | 9230 Katy Fwy Ste 600, Houston, TX 77055-7468 | 2005-10-10 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78258 |
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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.