DR. JOHN THOMAS YETTER M. D. NPI 1952359770

NPI Information

  • NPI: 1952359770
  • Provider Name: DR. JOHN THOMAS YETTER, M. D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 200 HEALTH CARE DR
    STE 1501
    GREENVILLE, IL
    ZIP 62246
  • Phone: (618) 664-9830

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NPI Details

DR. John Thomas Yetter, M. D. is a specialist in Greenville, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. John Thomas Yetter, M. D. NPI is 1952359770. 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:

200 HEALTH CARE DR
STE 1501
GREENVILLE, IL
ZIP 62246-154
Phone: (618) 664-9830
Fax: (618) 664-9820

The enumeration date for this NPI number is 5/4/2006 and was last updated on 6/30/2009.

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
1174400000XSpecialist036063187ILLINOISYes

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
1A24188MEDICARE UPINILLINOIS
2841619029OTHERMISSOURIMISSOURI
3036363187OTHERILLINOISIL LICENSE
4810300008OTHERILLINOISMEDICARE OSCAR A

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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