ROBERT YAMULLA


Address: 128 West 14th St, Hazleton, PA 18201-3266
Phone: 5704557677

ROBERT YAMULLA (NPI# 1376527655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376527655
Entity Type Individual
Full Name ROBERT YAMULLA
Credential MD
Practice Address 128 West 14th St
Hazleton
PA 18201-3266
Mailing Address Po Box 1347
Kingston
PA 18704-0347
Practice Telephone 5704557677
Practice Fax Number 5704557627
Mailing Telephone 5702888881
Mailing Fax Number 5702888065
Enumeration Date 2005-12-01
Last Update Date 2014-03-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine MD031594E PA Allopathic & Osteopathic Physicians
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
MD031594E PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA FDH 072376 01
PA 0010850580001 05

Office Location

Street Address 128 WEST 14TH ST
City HAZLETON
State PA
Zip Code 18201-3266

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871635458 Edward S Polashenski Do PC Internal Medicine 128 West 14th St, Hazleton, PA 18201-3266 2007-02-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992335244 Alfreda A Wujcik Counselor 750 E Broad Street, Hazleton, PA 18201 2020-01-24
1811468127 Omni Health Services, Inc. Peer Specialist 1747 B East Broad Street, Hazleton, PA 18201 2018-12-13
1366956781 Olivia Dworak Pharmacist Route 93 Laurel Mall, Hazleton, PA 18201 2017-11-21
1598283194 Emily Heller Massage Therapist 780 N. Church St., Hazleton, PA 18201 2017-09-03
1053715425 Md Enterprises LLC In Home Supportive Care 261 S Church St, Hazleton, PA 18201 2014-10-14
1154605772 Michael A. Washinsky, Do Family Medicine 1730 E Borad Street, Suite1, Hazleton, PA 18201 2011-09-30
1205158185 Sally Anne Malkin Gilbert Pharmacist Laurel Mall Route 93, Hazleton, PA 18201 2010-02-19
1790017176 Michael John Portonova Chiropractor 943 North Church Street, Hazleton, PA 18201 2010-02-09
1598964330 Anthony John Stachurski Jr. Occupational Therapy Assistant 1000 W. 27th St., Hazleton, PA 18201 2007-07-12
1801017819 Stephen C Celani Dentist 21 East Broad St, Hazelton, PA 18201 2007-05-01
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548243330 Young-kul Yoo Internal Medicine 1500 East 36th St, Hazleton, PA 18202 2005-11-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871060707 Gastrointestinal Wellness Clinic LLC Internal Medicine 301 Oxford Valley Rd # Units804, Yardley, PA 19067-7706 2018-10-29
1003394545 Lyanne Marie Caraballo Internal Medicine 1000 Integrity Dr Ste 110, Pittsburgh, PA 15235-3332 2018-08-06
1073047205 Margaret Spinosa Internal Medicine 1627 Chew St Ste 101, Allentown, PA 18102-3648 2017-04-14
1881131472 Paul Frey Spears Internal Medicine 490 Shady Dell Rd, York, PA 17403-4483 2017-01-20
1801258686 Wai Kan Chiu Internal Medicine 200 Lothrop Street, Mezzanine Level, C-wing, Puh, Pittsburgh, PA 15213 2016-03-22
1598189631 Richard B. Lynn Internal Medicine 204 Rhyle Ln, Bala Cynwyd, PA 19004-2324 2014-02-10
1427390822 Meeta Desai Internal Medicine Gastroenterology & Hepatology, M.c. Hu33, 500 University Drive, Hershey, PA 17033-0850 2013-03-23
1225372519 Scott Howell Wright Internal Medicine 1118 Riverview Ln, Conshohocken, PA 19428-2964 2012-11-27
1952665481 Excela Health Physician Practices, Inc. Internal Medicine 530 South St Ste G, Greensburg, PA 15601-2775 2012-06-29
1033479704 William Blake Huntington Internal Medicine 1088 W Baltimore Pike Ste 2407, Media, PA 19063 2012-05-29
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Competitor

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City HAZLETON
Zip Code 18201

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Dataset Information

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.

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