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MARK WILLIAM YEAZEL M.D. NPI 1619061124


NPI Information

NPI: 1619061124
Provider Name: MARK WILLIAM YEAZEL, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1020 WEST BROADWAY
MINNEAPOLIS, MN
ZIP 55411
Phone: (612) 302-8200
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Mark William Yeazel, M.D. is a family medicine in Minneapolis, MN with 37 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Mark William Yeazel, M.D. NPI is 1619061124. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduation Year:1987

The provider's business location address is:

1020 WEST BROADWAY
MINNEAPOLIS, MN
ZIP 55411
Phone: (612) 302-8200
Fax: (612) 302-8275

The NPI 1619061124 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 enumeration date for this NPI number is 10/2/2006 and was last updated on 4/23/2012.


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
1207Q00000XFamily Medicine31743MINNESOTAYes

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
11009362OTHERMINNESOTAPREFERREDONE
2092585OTHERMINNESOTAFAIRVIEW
3100588OTHERMINNESOTAUCARE
4HP17443OTHERMINNESOTAHEALTHPARTNERS
5570002700MEDICAIDMINNESOTA
658D72YEOTHERMINNESOTABLUE CROSS BLUE SHIELD
701-03328OTHERMINNESOTAMEDICA - CHOICE
8768420OTHERMINNESOTAARAZ
9080011814MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA

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.