DEAN JARED YAMAGUCHI (NPI# 1316016397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316016397 |
| Entity Type | Individual |
| Full Name | DEAN JARED YAMAGUCHI |
| Credential | M.D. |
| Practice Address |
115 Heart Dr East Carolina Heart Institute At Ecu Greenville NC 27834-8944 |
| Mailing Address |
Po Box 751069 Charlotte NC 28275-1069 |
| Practice Telephone | 2527444400 |
| Practice Fax Number | 2527443987 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2014-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 2013-01240 | NC | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | TRN10139 | FL | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
2013-01204 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1316016397 | 05 | |
| FL | UF RESIDENT PROVIDER NO. | 511378 | 01 |
| NC | BCBSNC | 179P0 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578516662 | Dean Takao Yamaguchi | Internal Medicine | 11301 Wilshire Blvd, Research Service 151, Los Angeles, CA 90073-1003 | 2006-05-18 |
| Street Address |
115 HEART DR EAST CAROLINA HEART INSTITUTE AT ECU |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-8944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316944705 | William M Bogey Jr. | Surgery | 115 Heart Dr, East Carolina Heart Institute @ Ecu Dept. of Cvs, Greenville, NC 27834-8944 | 2005-06-30 |
| 1386255883 | Kari Lynn Lewicki | Nurse Practitioner | 115 Heart Dr, Greenville, NC 27834-8982 | 2020-08-10 |
| 1144864885 | Ryan Christopher Mitchell | Nurse Practitioner | 115 Heart Dr, Greenville, NC 27834-8982 | 2019-11-06 |
| 1922575091 | Katisha Elzatie Mitchell | Nurse Practitioner | 115 Heart Dr, Greenville, NC 27834-8982 | 2018-10-26 |
| 1356852933 | Joanna Barlow Bowman | Nurse Practitioner | 115 Heart Dr, Greenville, NC 27834-8982 | 2017-10-23 |
| 1366858086 | Leslie Wiley Nifong | Specialist | 115 Heart Dr, East Carolina Heart Institute, Greenville, NC 27834-8982 | 2014-07-02 |
| 1679998785 | Lacey Freeman | Nurse Practitioner | 115 Heart Dr, Greenville, NC 27834 | 2014-02-26 |
| 1740603018 | Koh Takeuchi | Specialist | 115 Heart Dr, East Carolina Heart Institute At Ecu, Greenville, NC 27834-8944 | 2014-01-22 |
| 1306271739 | Amanda Lee Whited | Psychologist | 115 Heart Dr, Ecu Physicians Cardiothoracic Surgery, Greenville, NC 27834-8944 | 2013-09-04 |
| 1699112771 | Cassandra Marie Garland | Perfusionist | 115 Heart Dr, East Carolina Heart Institute At Ecu, Greenville, NC 27834-8944 | 2013-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316944705 | William M Bogey Jr. | Surgery | 115 Heart Dr, East Carolina Heart Institute @ Ecu Dept. of Cvs, Greenville, NC 27834-8944 | 2005-06-30 |
| 1336636786 | Vein Center At Allure Medical Spa, Pllc | Surgery | 540 Old Howell Rd, Greenville, SC 29615-1969 | 2018-04-20 |
| 1740657683 | Jackson Hospital and Clinic Inc | Surgery | 44 Medical Arts Ct, Greenville, AL 36037-3869 | 2015-08-26 |
| 1184945842 | St Francis Physician Services Inc | Surgery | 317 Saint Francis Dr Ste 340, Greenville, SC 29601 | 2010-06-17 |
| 1952531386 | Emilia Maria Krol | Surgery | 200 Patewood Dr Ste C300, Greenville, SC 29615-6324 | 2009-07-20 |
| 1730313313 | Joseph Vincent Valentino Blas | Surgery | 200 Patewood Dr, Suite C300, Greenville, SC 29615-3593 | 2009-05-11 |
| 1154587012 | Sagar S Gandhi | Surgery | 200 Patewood Dr, Suite C300, Greenville, SC 29615-3593 | 2008-07-31 |
| 1548440407 | Greenville Surgical, Pllc | Surgery | 1011 W H Smith Blvd, Suite 100, Greenville, NC 27834-3787 | 2007-11-08 |
| 1962609347 | David Terrell Williams | Surgery | 3 Saint Francis Dr, Ste 330, Greenville, SC 29601-3971 | 2007-06-29 |
| 1386757128 | Tod Martin Hanover | Surgery | 200 Patewood Dr, Suite C300, Greenville, SC 29615-3593 | 2006-08-16 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on DEAN JARED YAMAGUCHI.
| 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.