DR. YVES MICHEL ANTOINE JODESTY, MD - NPI NUMBER 1093877631

Summary

Provider Name: DR. YVES MICHEL ANTOINE JODESTY, MD

NPI Number: 1093877631

Clasification: Internal Medicine (207R00000X)

Organization: MANOR MEDICAL CENTER INC.

Address:
1040 NW 10TH AVE
FORT LAUDERDALE, FL
ZIP 33311

Phone Number: (954) 728-9200



Detailed Information

DR. Yves Michel Antoine Jodesty, MD is an internist in Fort Lauderdale, FL with 39 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. The assigned NPI number for this provider is 1093877631 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

1040 NW 10TH AVE
FORT LAUDERDALE, FL
ZIP 33311-101
Phone: (954) 728-9200

The enumeration date for this NPI number is 12/13/2006 and was last updated on 7/8/2007.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207R00000X Internal Medicine ME0049891 FL Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 09349 MEDICARE ID-TYPE UNSPECIFIED
2 B87352 MEDICARE UPIN

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1093877631 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 1 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).
3 Provider Last Name Legal Name JODESTY The last name of the provider. If the provider is an individual, this is the legal name.
4 Provider First Name YVES The first name of the provider, if the provider is an individual.
5 Provider Middle Name MICHEL ANTOINE The middle name of the provider, if the provider is an individual.
6 Provider Name Prefix Text DR. The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
7 Provider Credential Text MD The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
8 Provider First Line Business Practice Location Address 1040 NW 10TH AVE 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.
9 Provider Business Practice Location Address City Name FORT LAUDERDALE The city name in the location address of the provider being identified.
10 Provider Business Practice Location Address State Name FL The State code in the location of the provider being identified.
11 Provider Business Practice Location Address Postal Code 333116101 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
12 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
13 Provider Business Practice Location Address Telephone Number 9547289200 The telephone number associated with the location address of the provider being identified.
14 Provider Enumeration Date 12/13/2006 The date the provider was assigned a unique identifier (assigned an NPI).
15 Last Update Date 7/8/2007 The date that a record was last updated or changed.
16 Provider Gender Code M The code designating the provider’s gender if the provider is a person.
17 Healthcare Provider Taxonomy Code 1 207R00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
18 Provider License Number 1 ME0049891 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
19 Provider License Number State Code 1 FL The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Other Provider Identifier 1 09349 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
22 Other Provider Identifier Type Code 1 04 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
23 Other Provider Identifier 2 B87352 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
24 Other Provider Identifier Type Code 2 02 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
25 Is Sole Proprietor Y Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

Similar Providers Nearby

NPI Provider Name NPI Type Taxonomy
1003992017 DR. VIDEONA B BAUTISTA, M.D. Individual Internal Medicine
1013035922 DR. GARY MELLER, MD Individual Internal Medicine
1043448046 DR. TIFFANY BROOKE SIZEMORE-RUIZ, D.O. Individual Internal Medicine
1043209125 DR. MOHAMMED I BAIG, MD Individual Internal Medicine
1043513468 AGELESS MEDICINE ASSOCIATES INC Organization Internal Medicine
1013980093 MR. MURRAY JACK MILLER, MD Individual Internal Medicine (Endocrinology, Diabetes & Metabolism)
1013346543 PETER A. NAMNUM, MD, PA Organization Internal Medicine (Pulmonary Disease)
1033358262 SANDEEP JAIN MD PA Organization Internal Medicine (Pulmonary Disease)
1043312853 REINALDO ROSARIO, M.D. Individual Internal Medicine (Nephrology)
1043281611 ALLEN ROBERT SKLAVER, M.D. Individual Internal Medicine (Infectious Disease)
1013229707 DR. CARLOS ELIU DURAN-MARTINEZ, M.D Individual Internal Medicine (Nephrology)
1043281488 JAMES BRUCE MORRIS, M.D. Individual Internal Medicine (Infectious Disease)


Download NPI Record

Download this NPI record in Text format: Export

Download this NPI record in Excel (CSV) format: Export

Download this NPI record in XML format: Export




This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.