DR. EDWIN CHARLES YERKA (NPI# 1720091879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720091879 |
Entity Type | Individual |
Full Name | DR. EDWIN CHARLES YERKA |
Credential | PHD, LP |
Practice Address |
300 E Bruce St Marshall MN 56258 |
Mailing Address |
Po Box 288 Marshall MN 56258-0288 |
Practice Telephone | 5073372923 |
Practice Fax Number | 5073372926 |
Mailing Telephone | 5079299411 |
Mailing Fax Number | 5074012568 |
Enumeration Date | 2006-08-13 |
Last Update Date | 2012-07-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP4390 | MN | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | PREFERRED ONE | 1032344 | 01 |
MN | UCARE | 143659 | 01 |
MN | SIOUX VALLEY HEALTH | 30281 | 01 |
MN | BLUE CROSS BLUE SHIELD | 50M21YE | 01 |
MN | 156835300 | 05 | |
MN | UNITED HEALTHCARE | 2281409 | 01 |
MN | HEALTH PARTNERS | HP37854 | 01 |
MN | MEDICA | 61-53867 | 01 |
MN | RR MEDICARE | 680015067 | 01 |
Street Address |
300 E BRUCE ST |
City | MARSHALL |
State | MN |
Zip Code | 56258 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285140012 | Action Manufacturing Inc | Durable Medical Equipment & Medical Supplies | 1105 Lake Road, Marshall, MN 56258 | 2017-12-15 |
1124579123 | Themarshrx | Durable Medical Equipment & Medical Supplies | 600 Sherman Ave, Marshall, MN 56258 | 2016-10-14 |
1780020370 | Heritage Pointe Senio | Assisted Living Facility | 207 N 4th Street, Marshall, MI 56258 | 2013-05-22 |
1528351178 | Lori Anne Lynner | Family Medicine | 3160 Us Hwy 59, Marshall, MN 56258 | 2011-05-16 |
1912148545 | Tami J Behnke | Counselor | 1418 State Street, Campus Religious Center, Marshall, MN 56258 | 2009-03-11 |
1073768396 | Sharyce Marie Audiology Inc | Audiologist | 1424 East College Drive, Suite 200, Marshall, MN 56258 | 2008-12-01 |
1497976625 | Erica Anne Jost | Specialist/Technologist | 1501 State Street, Marshall, MN 56258 | 2007-05-02 |
1265597470 | Nancy Louise Hemmingson | Optometrist | 300 S Bruce Street, Avera Marshall Southwest Ophthalmology, Marshall, MN 56258 | 2006-12-27 |
1407928187 | Midwest Vision Centers Inc | Technician/Technologist | 1113 E College Drive, Marshall, MN 56258 | 2006-11-15 |
1306918354 | Paul Joseph Puetz | Chiropractor | 111 Jewett St, Marshall, MN 56258 | 2006-11-14 |
Find all providers in zip 56258 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659594372 | Jim Horgan Ma, Lp | Psychologist | 109 S 5th St, Suite 400, Marshall, MN 56258-1240 | 2007-04-11 |
1417000126 | Edward Rubenstein | Psychologist | 255 Sages Way, Marshall, NC 28753-5711 | 2007-01-18 |
1174695787 | Toney Lee Charles Jr. | Psychologist | 301 North Wellington St., Marshall, TX 75670-3230 | 2006-11-15 |
1003828278 | Christine Catherine Zych | Psychologist | 430 W Main St Ste 1, Marshall, MN 56258-3783 | 2006-08-13 |
1467463380 | Janice Claire Lazar | Psychologist | 310 W Green St, Marshall, MI 49068-1519 | 2006-08-10 |
1801264262 | Darci Van Dyke | Psychologist | 1212 E College Dr, Marshall, MN 56258-2010 | 2015-09-02 |
1396002655 | Kendra A Holzer | Psychologist | 1212 E College Dr, Marshall, MN 56258-2010 | 2012-04-11 |
1225332711 | Gerald Edward Nissley Jr. | Psychologist | 1 Tiger Dr, Marshall, TX 75670-1412 | 2010-12-27 |
1891987335 | Sarah E. Mannes | Psychologist | 15209 W Michigan Ave, Marshall, MI 49068-9570 | 2007-08-17 |
1356531909 | Lazar Psychological Services, P.C. | Psychologist | 310 W Green St, Marshall, MI 49068-1519 | 2007-07-30 |
Find all providers in MARSHALL |
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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.