Provider Demographics
NPI:1114029287
Name:YEE ADVANCED ORTHOPEDICS AND SPORTS MEDICINE PC
Entity Type:Organization
Organization Name:YEE ADVANCED ORTHOPEDICS AND SPORTS MEDICINE PC
Other - Org Name:ADVANCED ORTHOPEDIC & SPORTS MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:E
Authorized Official - Last Name:YEE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:702-740-5327
Mailing Address - Street 1:PO BOX 50605
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89016-0605
Mailing Address - Country:US
Mailing Address - Phone:702-740-5327
Mailing Address - Fax:702-740-5328
Practice Address - Street 1:7195 ADVANCED WAY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-3624
Practice Address - Country:US
Practice Address - Phone:702-740-5327
Practice Address - Fax:702-740-5328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV13004207XS0117X
NV1052207XX0005X
NV1160207XX0005X
NV12394207XX0005X
NV0606213ES0103X
NVPA1006363AS0400X
NVPA1140363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Multi-Specialty
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Multi-Specialty
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV10050583Medicaid
NVV100840Medicare PIN