JEFFREY R YESSENOW MD NPI 1194725135

NPI Information

  • NPI: 1194725135
  • Provider Name: JEFFREY R YESSENOW, MD
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Individual
  • Address: 9250 COLUMBIA AVE
    STE A2
    MUNSTER, IN
    ZIP 46321
  • Phone: (219) 513-1300

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NPI Details

Jeffrey R Yessenow, MD is a gynecology obstetrics gynecology in Munster, IN. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee Jeffrey R Yessenow, MD NPI is 1194725135. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9250 COLUMBIA AVE
STE A2
MUNSTER, IN
ZIP 46321
Phone: (219) 513-1300
Fax: (219) 513-2385

The enumeration date for this NPI number is 7/29/2005 and was last updated on 4/29/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
1207VG0400XObstetrics & GynecologyGynecology01030811AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1255700AMEDICARE PININDIANA
2629990BMEDICARE ID-TYPE UNSPECIFIEDINDIANA
3B29094MEDICARE UPININDIANA
4100214810MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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