DR. DEREK Y YUAN (NPI# 1548503642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548503642 |
| Entity Type | Individual |
| Full Name | DR. DEREK Y YUAN |
| Credential | M.D. |
| Practice Address |
52 Harrison St Fl 2 Johnson City NY 13790-2120 |
| Mailing Address |
33 Lewis Rd Ste 2 Binghamton NY 13905-1040 |
| Practice Telephone | 6077638120 |
| Practice Fax Number | 6077638129 |
| Mailing Telephone | 6077298156 |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2020-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
61927 | NY | Allopathic & Osteopathic Physicians |
| N | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
61927 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Stony Brook University Hospital, Department of Pediatrics Hsc T-11/040, Stony Brook, NY 117948111 | 6314442020 | 6314442894 |
| 5 Medical Dr, Port Jefferson Station, NY 11776 | 6313649119 |
| Street Address |
52 HARRISON ST FL 2 |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447294038 | Eleanor Conroy | Nurse Practitioner | 52 Harrison St Fl 2, Johnson City, NY 13790-2120 | 2006-06-15 |
| 1629589031 | Casey Trexler | Chiropractor | 52 Harrison St Fl 2, Johnson City, NY 13790-2120 | 2017-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194958215 | Tanzila Shams Kulman | Psychiatry & Neurology | 410 N State of Franklin Rd Ste 135b, Johnson City, TN 37604 | 2009-08-24 |
| 1730387036 | Ray Wallace Mettetal Jr. | Psychiatry & Neurology | 303 E 11th Ave, Johnson City, TN 37601-3932 | 2007-07-07 |
| 1942310149 | Pamela J. Costello, Md, PC | Psychiatry & Neurology | 3915 Bristol Hwy Ste 103, Johnson City, TN 37601-1400 | 2006-08-30 |
| 1457365876 | Pamela J Costello | Psychiatry & Neurology | 3915 Bristol Hwy Ste 301, Johnson City, TN 37601-1403 | 2006-07-28 |
| 1992750673 | Yi Annette Huang | Psychiatry & Neurology | 105 Woodlawn Drive, Johnson City, TN 37604-5978 | 2006-05-23 |
| 1245213545 | Nathaniel Robb Whaley | Psychiatry & Neurology | 1321 Sunset Drive, Suite 11, Johnson City, TN 37604-7902 | 2005-11-22 |
| 1205830536 | Fernando Bendfeldt | Psychiatry & Neurology | 101 Med Tech Pkwy, Ste 407, Johnson City, TN 37604-4000 | 2005-05-23 |
| 1922574474 | Blue Ridge Medical Management Corporation | Psychiatry & Neurology | 410 N State of Franklin Rd Ste 135b, Johnson City, TN 37604-6972 | 2018-10-22 |
| 1265987325 | Upstate University Clinical Campus Medical Group At Binghamton, Inc. | Psychiatry & Neurology | 46 Harrison St, Johnson City, NY 13790-2120 | 2016-08-18 |
| 1659776375 | Blue Ridge Medical Management Corporation | Psychiatry & Neurology | 410 N State of Franklin Rd, Suite 135, Johnson City, TN 37604-6971 | 2014-10-23 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
Please comment or provide details below to improve the information on DR. DEREK Y YUAN.
| 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.