BENNETT W YU (NPI# 1609922343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609922343 |
| Entity Type | Individual |
| Full Name | BENNETT W YU |
| Credential | M.D. |
| Practice Address |
16761 Southpark Center Family Health & Surgical Center Strongsville OH 44136 |
| Mailing Address |
12018 Deer Creek Run Plymouth MI 48170-2863 |
| Practice Telephone | 4408782500 |
| Mailing Telephone | 7348120889 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-10-28 |
| NPI Deactivation Date | 10/15/2020 |
| NPI Reactivation Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME117476 | FL | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
D0039204 | MD | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
0101235693 | VA | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
ME117476 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | WELLCARE | 1224577 | 01 |
| MI | 1609922343 | 05 | |
| MI | 3092113 | 05 | |
| FL | 009846800 | 05 | |
| MI | BCBSM - WMCC | 1588778484 | 01 |
| FL | AVMED | 370090 | 01 |
| FL | AETNA | 4575870 | 01 |
| MD | GROUP NPI | 1184832040 | 01 |
| FL | BCBS | 14S7L | 01 |
| FL | RR MEDICARE | P01652182 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9776 Bonita Beach Rd Se, Suite 201a, Bonita Springs, FL 34135 | 2399473092 | 2399471077 |
| Street Address |
16761 SOUTHPARK CENTER FAMILY HEALTH & SURGICAL CENTER |
| City | STRONGSVILLE |
| State | OH |
| Zip Code | 44136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861475998 | Lindsay F Weber | Physician Assistant | 16761 Southpark Center, Strongsville, OH 44136 | 2005-11-22 |
| 1437442654 | Alison Moses | Psychologist | 16761 Southpark Center, Strongsville Family Health and Surgery Center, Strongsville, OH 44136 | 2011-05-20 |
| 1558482752 | Stephanie Jean Dasher | Specialist/Technologist | 16761 Southpark Center, Shor - Cleveland Clinc, St 30, Strongsville, OH 44136 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887688 | Elizabeth M Smutek | Homemaker | 16920 Deer Path Dr, Cleveland, OH 44136 | 2020-09-24 |
| 1528507332 | Ridge Park Urgent Care LLC | Clinic/Center | 16244 Pearl Road, Strongsville, OH 44136 | 2017-02-14 |
| 1871047126 | Ralph Rivera | Social Worker | 15251 Colebright Rd, Strongsville, OH 44136 | 2016-08-04 |
| 1598184392 | Kelly Nye Sutherland | Physical Therapist | 16761 South Park Center/ St30, Strongsville, OH 44136 | 2014-04-09 |
| 1427475383 | Shena Colburn | Physical Therapy Assistant | 19502 Pearl Road, Strongsville, OH 44136 | 2014-03-27 |
| 1851640445 | Dentkos Endodontics, LLC | Dentist | 16626 Pearl Rd, Strongsville, OH 44136 | 2012-08-29 |
| 1861777823 | Connie Agui | Registered Nurse | 19017 Turkey Meadow Lane, Strongsville, OH 44136 | 2011-10-20 |
| 1629376397 | America's Best Contacts & Eyeglasses | Technician/Technologist | 17260 Royalton Road, Strongsville, OH 44136 | 2011-03-04 |
| 1932432267 | Costco Wholesale Corporation | Pharmacy | 16690 Royalton Rd, Strongsville, OH 44136 | 2009-09-18 |
| 1003051715 | Francois Abi Fadel | Internal Medicine | Strongsville Family Health and Surgery Center, 16761 South Park Center, Strongsville, OH 44136 | 2008-12-09 |
| Find all providers in zip 44136 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013936871 | Jason Valent | Internal Medicine | 16761 Southpark Ctr, St30, Strongsville, OH 44136-9302 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013315076 | Clermont County Cancer Center LLC | Internal Medicine | 4402 Hartman Ln, Batavia, OH 45103-1971 | 2014-12-08 |
| 1215353834 | Ahmed M Ghany | Internal Medicine | 100 W 3rd Ave Ste 150, Columbus, OH 43201-3260 | 2014-03-06 |
| 1972935716 | Stanley P Balcerzak | Internal Medicine | 3113 N 3 Bs and K Rd, Sunbury, OH 43074-9674 | 2013-08-03 |
| 1184056996 | Mohammad Ansari-dezfuli | Internal Medicine | 1700 Carriage Place, Gates Mills, OH 44040 | 2013-08-02 |
| 1043569486 | Virginia Ann Rhodes | Internal Medicine | 1557 Landsdale Cir, Twinsburg, OH 44087-3337 | 2012-08-30 |
| 1629324009 | Earl Nelson Metz | Internal Medicine | 226 E. Dublin Granville Rd., Worthington, OH 43085-3185 | 2012-08-03 |
| 1366715260 | John Kiess Kurtz | Internal Medicine | 3676 Kehrer Rd, Bucyrus, OH 44820-8624 | 2012-02-23 |
| 1922398049 | Vamsi Koduri | Internal Medicine | 4435 State Route 159, Chillicothe, OH 45601 | 2011-04-11 |
| 1528392297 | William H Sigalove | Internal Medicine | 130 Meadow Dr, Elyria, OH 44035-1838 | 2009-09-28 |
| 1922236017 | Amir Iqbal | Internal Medicine | 885 S Sawburg Ave, Suite 110, Alliance, OH 44601-5926 | 2009-06-26 |
| Find all providers with the same taxonomy | ||||
| City | STRONGSVILLE |
| Zip Code | 44136 |
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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.