Jeevaka W Yapa (NPI# 1013957281, PAC ID# 1052496940) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1013957281 |
| PAC ID by PECOS | 1052496940 |
| Professional Enrollment ID | I20080318000133 |
| Full Name | Jeevaka W Yapa |
| Address |
30555 Greenfield Rd Southfield MI 48076-1594 |
| Gender | M |
| Medical School | MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY |
| Graduation Year | 1991 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Secondary Specialties | ORAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230195 | ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER |
| 230024 | SINAI-GRACE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 30555 Greenfield Rd, Southfield, MI 48076-1594 | ||
| 11900 E 12 Mile, Suite 308, Warren, MI 48093-3487 | 5865827965 | ASCENSION MEDICAL GROUP MICHIGAN |
| Street Address |
30555 GREENFIELD RD |
| City | SOUTHFIELD |
| State | MI |
| Zip | 48076-1594 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy M Bakalar | Nurse Practitioner | Carolyn E Guidot Md PC | 18161 W 13 Mile Rd, Suite E1, Southfield, MI 48076-1113 |
| Raka Mahajan | Allergy/immunology | Suresh Anne Md PC | 18161 W 13 Mile Rd C, Asthma Allergy and Immunology Center, Southfield, MI 48076-1113 |
| Lyle S Grant | Family Medicine | 18161 W 13 Mile Rd, Suite E3, Southfield, MI 48076-1113 | |
| Katherine R Shaw | Nurse Practitioner | Carolyn E Guidot Md PC | 18161 W 13 Mile Rd, Suite E1, Southfield, MI 48076-1113 |
| Rao S Botta | Allergy/immunology | Suresh Anne Md PC | 18161 W 13 Mile Rd C, Asthma Allergy and Immunology Center, Southfield, MI 48076-1113 |
| Suresh Anne | Allergy/immunology | Suresh Anne Md PC | 18161 W 13 Mile Rd C, Asthma Allergy and Immunology Center, Southfield, MI 48076-1113 |
| Iqbal A Nasir | General Practice | 18161 W 13 Mile Rd, D4, Southfield, MI 48076-1113 | |
| Carolyn Elaine Guidot | Internal Medicine | Carolyn E Guidot Md PC | 18161 W 13 Mile Rd, Suite E1, Southfield, MI 48076-1113 |
| Jennifer R Hankinson | Nurse Practitioner | Carolyn E Guidot Md PC | 18161 W 13 Mile Rd, E1, Southfield, MI 48076-1113 |
| Susan Hyde Bakker | Clinical Social Worker | Personal and Family Adjustment Center PC | 30555 Southfield Rd, Suite 510, Southfield, MI 48076-1221 |
| Find all physicians in zip 48076 | |||
| City | SOUTHFIELD |
| Zip Code | 48076 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | SOUTHFIELD + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Jeevaka W Yapa.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.