MICHAEL JOSEPH YANOSCHIK (NPI# 1407349749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407349749 |
| Entity Type | Individual |
| Full Name | MICHAEL JOSEPH YANOSCHIK |
| Credential | MD |
| Practice Address |
Womack Army Medical Center 2817 Reilly Rd Fort Bragg NC 28310-5001 |
| Mailing Address |
151 Westwick Ln Apt 6 Fayetteville NC 28314-2736 |
| Practice Telephone | 9109077136 |
| Practice Fax Number | 9109078631 |
| Mailing Telephone | 6167453984 |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2020-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 32046 | NE | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
WOMACK ARMY MEDICAL CENTER 2817 REILLY RD |
| City | FORT BRAGG |
| State | NC |
| Zip Code | 28310-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235381609 | Zakiya Baako Africa Dixon | Physician Assistant | Womack Army Medical Center 2817 Reilly Rd, Fort Bragg, NC 28310 | 2008-10-16 |
| 1295393395 | Benjamin Canipe | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center 2817 Reilly Rd, Fort Bragg, NC 28310-0001 | 2019-06-03 |
| 1710443239 | Mila Verner | Social Worker | Womack Army Medical Center 2817 Reilly Rd, Fort Bragg, NC 28310-0001 | 2019-02-20 |
| 1346717212 | Bennett Lamonde Evans | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center 2817 Reilly Rd, Fort Bragg, NC 28310-0001 | 2018-10-30 |
| 1558850651 | John Ryan Mcinerney | Registered Nurse | Womack Army Medical Center 2817 Reilly Rd, Fort Bragg, NC 28310 | 2018-05-03 |
| 1922538685 | Natasha Gouey-guy | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center 2817 Reilly Rd, Fort Bragg, NC 28310-0001 | 2017-06-15 |
| 1679003149 | Alexandra Catherine Carney | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center 2817 Reilly Rd, Fort Bragg, NC 28310-0001 | 2017-06-15 |
| 1407212996 | Michelle Gonzalez | Psychologist | Womack Army Medical Center 2817 Reilly Rd, Fort Bragg, NC 28310-0001 | 2016-01-13 |
| 1043507213 | Caitlyn Mae Rerucha | Family Medicine | Womack Army Medical Center 2817 Reilly Rd, Family Medicine Clinic, Fort Bragg, NC 28310-0001 | 2011-07-07 |
| 1023305703 | Contrina Annette Huffman | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center 2817 Reilly Rd, Family Medicine Clinic, Fort Bragg, NC 28310-0001 | 2011-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013550763 | Brent Francis Bachman | Physician Assistant | 2817 Reilly Street, Fort Bragg, NC 28310 | 2019-10-25 |
| 1417503459 | Cooper Pasque | Dentist | 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 | 2019-08-15 |
| 1851959951 | Daniel Jordan Whitaker | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 | 2019-06-03 |
| 1679054217 | Christopher Cetnar | Dentist | Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 | 2018-08-22 |
| 1316427107 | Alexandrea Lee Clark | Dentist | Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 | 2018-08-21 |
| 1457843831 | Kevin Patrick Hudson | Student in an Organized Health Care Education/Training Program | 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2018-06-01 |
| 1639691462 | Margaret S Greene | Dentist | Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 | 2017-07-13 |
| 1912432246 | Chezdan Baker | Student in an Organized Health Care Education/Training Program | Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 | 2017-04-24 |
| 1215483094 | Shantryce Monique Boatwright Crump | Dental Hygienist | 2617 Rielly Road, Fort Bragg, NC 28310 | 2016-08-31 |
| 1629435714 | John Gagnier | Physician Assistant | Gruber Road, Building #c-1722, Fort Bragg, NC 28310 | 2016-01-21 |
| Find all providers in zip 28310 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356590855 | Bryan Manees Johnson | General Practice | Hhc 3 82 Gsab, Fort Bragg, NC 28310-0001 | 2008-09-09 |
| 1316906399 | Theodore Lee Allen | General Practice | Dept of Deployment Health Womc, Physical Exam, Fort Bragg, NC 28310 | 2006-03-20 |
| 1386057255 | Camilo D Fernandez-salvador | General Practice | 2817 Reilly St, Fort Bragg, NC 28310-5001 | 2014-06-08 |
| 1790124915 | Nathaniel R Watts | General Practice | 2817 Reilly St, Fort Bragg, NC 28310 | 2013-06-20 |
| 1568756351 | Raffaella Derosa | General Practice | 2817 Reilly St, Fort Bragg, NC 28310-5001 | 2011-06-09 |
| 1184630097 | Matthew Scott Chambers | General Practice | Wamc Stop A 2817 Reilly Rd, Mcxc Cod Credentials, Fort Bragg, NC 28310-0001 | 2006-07-31 |
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| 1215595566 | Kayla L Torrez Chang | General Practice | Mcmh Fc 308, Hm Smith Boulevard, Camp Lejeune, NC 28547 | 2019-06-02 |
| 1972161503 | Shanda Nicole Felton | General Practice | 8 Durbin Pl, Durham, NC 27705-6127 | 2019-05-29 |
| 1437613171 | Sme South Carolina P.C. | General Practice | 212 Cape August Pl, Belmont, NC 28012-6768 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
| City | FORT BRAGG |
| Zip Code | 28310 |
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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.