DR. DAVID JAEHAN YOO (NPI# 1740447820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740447820 |
| Entity Type | Individual |
| Full Name | DR. DAVID JAEHAN YOO |
| Credential | M.D. |
| Practice Address |
1267 Highway 54 W Suite 5400 Fayetteville GA 30214-2114 |
| Mailing Address |
275 Collier Rd Nw Suite 290 Atlanta GA 30309-1709 |
| Practice Telephone | 6788175542 |
| Mailing Telephone | 4043523300 |
| Enumeration Date | 2008-05-17 |
| Last Update Date | 2017-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 0101243547 | VA | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
71038 | GA | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
0101243547 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003161634C | 05 | |
| MEDICARE PTAN | 202I395560 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841487964 | David D Yoo | Dentist | 1139 N Mount Vernon Ave, Colton, CA 92324-2554 | 2007-10-02 |
| 1235351057 | David Anthony Yoo | Chiropractor | 12968 S Summit St, Olathe, KS 66062-8846 | 2007-05-02 |
| 1548343155 | David K Yoo | Ophthalmology | 2160 S First Ave 101 1740, Loyala University Medical Center, Maywood, IL 60153 | 2006-10-24 |
| 1689767584 | David K. Yoo | Emergency Medicine | 1950 Oakview Dr, Oakland, CA 94602-1946 | 2006-10-02 |
| 1811968175 | David Dk Yoo | Internal Medicine | 250 Crescent St, Brooklyn, NY 11208-2002 | 2006-01-26 |
| 1538523618 | David Yoo | Student in an Organized Health Care Education/Training Program | 22 S Greene St Rm N3e09, Baltimore, MD 21201-1544 | 2016-04-05 |
| 1093178410 | David Yoo | Optometrist | 13463 Washington Blvd, Marina Del Rey, CA 90292-5658 | 2016-04-02 |
| 1225499957 | David Yoo | Pharmacist | 1763 W Howard St, Chicago, IL 60626-1626 | 2016-03-08 |
| 1861894586 | David Yoo | Pharmacist | 20250 Us Highway 18, Apple Valley, CA 92307-2937 | 2014-09-25 |
| 1598939019 | David Sung-hyun Yoo | Radiology | 2100 Erwin Rd, Durham, NC 27710-0001 | 2008-04-15 |
| Street Address |
1267 HIGHWAY 54 W SUITE 5400 |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902107 | Charles William Pettus | Internal Medicine | 1267 Highway 54 W, Ste 2200, Fayetteville, GA 30214-2114 | 2005-06-15 |
| 1528466679 | Kelly Teed | Genetic Counselor, MS | 1267 Highway 54 W, Suite 4000, Fayetteville, GA 30214-2114 | 2014-12-05 |
| 1811398233 | Leah Keith | Nurse Practitioner | 1267 Highway 54 W, Suite 2200, Fayetteville, GA 30214-2114 | 2014-09-05 |
| 1083024095 | Hannah Katharine Shell | Nurse Practitioner | 1267 Highway 54 W, Ste 2200, Fayetteville, GA 30214-2114 | 2014-04-29 |
| 1407194558 | Georgia Urology Pa | Urology | 1267 Highway 54 W, Suite 5200, Fayetteville, GA 30214-2114 | 2013-01-24 |
| 1750679775 | Lilibird Pichardo | Obstetrics & Gynecology | 1267 Highway 54 W, Suite 3200, Fayetteville, GA 30214-2114 | 2011-07-11 |
| 1598080129 | David G Tian | Internal Medicine | 1267 Highway 54 W, Suite 2200, Fayetteville, GA 30214-2114 | 2010-04-07 |
| 1871720003 | Joseph Lavallo | Nurse Practitioner | 1267 Highway 54 W, Suite 2200, Fayetteville, GA 30214-2114 | 2009-06-15 |
| 1477714517 | Ryan K. Crisel | Internal Medicine | 1267 Highway 54 W, Suite 2200, Fayetteville, GA 30214-2110 | 2008-06-20 |
| 1184800534 | Sanjay Sarin | Internal Medicine | 1267 Highway 54 W, Suite 2200, Fayetteville, GA 30214-2114 | 2008-01-16 |
| Find all providers in the same location | ||||
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740420892 | Choomsang Lohavichan | Internal Medicine | 1123 Longleaf Dr, Fayetteville, NC 28305-5278 | 2009-03-03 |
| 1245239136 | Maureen Ngozi Achuko | Internal Medicine | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 | 2005-07-21 |
| 1154435923 | Northwest Arkansas Renal Dialysis Associates | Internal Medicine | 509 E Millsap Rd, Suite 111, Fayetteville, AR 72703-4067 | 2006-08-18 |
| 1184653313 | Dinesh Narasimhaiah Chandra | Internal Medicine | 1218 Walter Reed Rd, Fayetteville, NC 28304-4440 | 2006-07-01 |
| 1497707640 | Moses Y Aboagye-kumi | Internal Medicine | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 | 2006-05-16 |
| 1619941150 | Emily X Sun | Internal Medicine | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 | 2006-02-13 |
| 1003815994 | Kenneth Melton | Internal Medicine | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 | 2005-07-21 |
| 1245239144 | Ezra Lee Mcconnell IIi | Internal Medicine | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 | 2005-07-21 |
| 1942209853 | Mark Aarne Kasari | Internal Medicine | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 | 2005-07-21 |
| 1952300857 | Yuan Lu | Internal Medicine | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 | 2005-07-21 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
Please comment or provide details below to improve the information on DR. DAVID JAEHAN YOO.
| 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.