Provider Demographics
NPI:1083883227
Name:WAYNE F YAKES, MD
Entity Type:Organization
Organization Name:WAYNE F YAKES, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:YAKES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-788-4280
Mailing Address - Street 1:PO BOX 27499
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80227-0499
Mailing Address - Country:US
Mailing Address - Phone:303-788-4280
Mailing Address - Fax:
Practice Address - Street 1:501 W HAMPDEN AVE STE 460
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-2109
Practice Address - Country:US
Practice Address - Phone:303-788-4280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO24847174400000X, 281P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
No281P00000XHospitalsChronic Disease HospitalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO61520276Medicaid
CO61520276Medicaid
E23276Medicare UPIN