Provider Demographics
NPI:1215041942
Name:NG, YU-TZE (MD)
Entity Type:Individual
Prefix:
First Name:YU-TZE
Middle Name:
Last Name:NG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12200 W 106TH ST STE 400
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2305
Mailing Address - Country:US
Mailing Address - Phone:913-214-8060
Mailing Address - Fax:573-884-0943
Practice Address - Street 1:12200 W 106TH ST STE 400
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66215-2305
Practice Address - Country:US
Practice Address - Phone:913-214-8060
Practice Address - Fax:573-884-0943
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20200404712084N0402X
KS04-478492084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200091004Medicaid
AZ715104Medicaid
AZ78059Medicare ID - Type UnspecifiedMEDICARE #