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YELENA VIDGOP MD NPI 1336300771


NPI Information

NPI: 1336300771
Provider Name: YELENA VIDGOP, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
11215 METRO PKWY STE 1
FORT MYERS, FL
ZIP 33966
Phone: (239) 208-2212
Get Directions

Yelena Vidgop, MD is a neurology psychiatry neurology in Fort Myers, FL with 18 years of experience. The provider is 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. Yelena Vidgop, MD NPI is 1336300771. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11215 METRO PKWY STE 1
FORT MYERS, FL
ZIP 33966-206
Phone: (239) 208-2212
Fax: (239) 208-3994

The NPI 1336300771 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth (HCPCS:G0425)

The enumeration date for this NPI number is 6/18/2008 and was last updated on 10/11/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyMD186189OREGONNo
22084N0400XPsychiatry & NeurologyNeurology35.132438OHIONo
32084N0400XPsychiatry & NeurologyNeurology25796MISSISSIPPINo
42084N0400XPsychiatry & NeurologyNeurology15020NORTH DAKOTANo
52084N0400XPsychiatry & NeurologyNeurologyR9555TEXASNo
62084N0400XPsychiatry & NeurologyNeurology4301114222MICHIGANNo
72084N0400XPsychiatry & NeurologyNeurology18762NEW HAMPSHIRENo
82084N0400XPsychiatry & NeurologyNeurologyMD468456PENNSYLVANIANo
92084N0400XPsychiatry & NeurologyNeurology296846NEW YORKNo
102084N0400XPsychiatry & NeurologyNeurologyME115465FLORIDANo
112084N0400XPsychiatry & NeurologyNeurologyME 115465FLORIDAYes
122084N0400XPsychiatry & NeurologyNeurologyMD.60803515WASHINGTONNo
132084N0400XPsychiatry & NeurologyNeurology2020003927MISSOURINo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13115380MEDICAIDNEW HAMPSHIRE

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: 4/28/2024

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.