EMILY JEAN YONKE M.D., NPI 1467406165 — MINNEAPOLIS (MN)

NPI 1467406165

13+ Years Experience Individual

EMILY JEAN YONKE M.D.

05/19/2006
PROVIDER ENUMERATION DATE
10/14/2011
LAST UPDATE DATE
1467406165
NPI NUMBER

About EMILY JEAN YONKE

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

EMILY JEAN YONKE is a provider established in MINNEAPOLIS, MN. The NPI number of EMILY JEAN YONKE is 1467406165 and was assigned on 05/19/2006. The practitioners primary taxonomy code is: 208000000X with license number: 48335 MN .

Mailing address

  • City: MINNEAPOLIS, MN
  • State: MN
  • Postal code: 55455
  • Phone: 6126263111
  • Address: 420 DELAWARE ST SE, MMC 391
  • Address 2: UNIVERSITY OF MINNESOTA PHYSICIANS

Primary Practice Address

  • Region : MINNEAPOLIS, MN
  • NPI : 1467406165
  • Phone : 6126263111
  • Postalcode : 55455
  • Address : 420 DELAWARE ST SE, MMC 391 UNIVERSITY OF MINNESOTA PHYSICIANS

Additional identifiers

  • Identifier: 605205300
  • Code / Type : 5 - MEDICAID
  • Identifier state : MN

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Provider taxonomy - Pediatrics

  • Taxonomy code: 208000000X
  • License number: 48335
  • License state: MN

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Contacts:

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  • EMILY JEAN YONKE M.D.
  • Address : 420 DELAWARE ST SE, MMC 391 UNIVERSITY OF MINNESOTA PHYSICIANS
  • Region : MINNEAPOLIS, MN
  • NPI : 1467406165
  • Phone : 6126263111
  • Postalcode : 55455

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address420 DELAWARE ST SE, MMC 391
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location AddressUNIVERSITY OF MINNESOTA PHYSICIANS
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameMINNEAPOLIS
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameMN
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code55455
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number6126263111
The telephone number associated with the location address of the provider being identified.
NPI1467406165
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Provider Enumeration Date05/19/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated10/14/2011
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)EMILY JEAN YONKE
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address420 DELAWARE ST SE, MMC 391
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Second Line Business Mailing AddressUNIVERSITY OF MINNESOTA PHYSICIANS
The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
Provider Business Mailing Address City NameMINNEAPOLIS, MN
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameMN
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code55455
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number6126263111
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #1208000000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Provider License Number 148335
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1MN
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Other Provider Identifier 1605205300
Other Provider Identifier #1
Other Provider Identifier Type 15
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 1MN
Other Provider Identifier State #1
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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