| NPI | 1205885563 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-05-06 |
| Last Updated | 2024-08-28 |
| Mailing Address | 1060 Meyer Rd Wentzville, MO 63385-3800 United States Phone: (314) 230-1500 | Fax: (314) 230-1122 📍 View Map |
| Primary Practice Address | 1060 Meyer Rd Wentzville, MO 63385-3800 United States Phone: (314) 230-1500 | Fax: (314) 230-1122 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207N00000X – Dermatology | MO | 115101 |
| No | 207ND0101X – Dermatology, MOHS-Micrographic Surgery | MO | 115101 |
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About NPI 1205885563
Jaeyoung Yoon MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1205885563. The primary specialty listed is Dermatology. The provider is located in Wentzville, MO. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-06. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1205885563?
NPI 1205885563 belongs to Jaeyoung Yoon MD, a Dermatology in Wentzville, MO. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1205885563 active?
The current status of NPI 1205885563 in the NPPES registry is Active. The record was last updated on 2024-08-28.
What specialty is NPI 1205885563?
NPI 1205885563 is classified under the taxonomy Dermatology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1205885563?
You can verify NPI 1205885563 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1205885563?
The primary practice address on file for NPI 1205885563 is 1060 Meyer Rd, Wentzville, MO 63385-3800. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1205885563 issued?
NPI 1205885563 was first issued (enumerated) on 2006-05-06. The NPPES record was last updated on 2024-08-28.
Practice Location Map
Jaeyoung Yoon is located at 1060 Meyer Rd, Wentzville, MO. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Jaeyoung Yoon. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1205885563. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dermatology | 115101 | MO |
| Dermatology, MOHS-Micrographic Surgery | 115101 | MO |