Provider Demographics
NPI:1245558709
Name:YANG, SHAWN JAY (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:JAY
Last Name:YANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3301 MERCY HEALTH BLVD
Mailing Address - Street 2:STE 450
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-1106
Mailing Address - Country:US
Mailing Address - Phone:513-981-6784
Mailing Address - Fax:513-215-9397
Practice Address - Street 1:3301 MERCY HEALTH BLVD
Practice Address - Street 2:STE 450
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-1106
Practice Address - Country:US
Practice Address - Phone:513-981-6784
Practice Address - Fax:513-215-9397
Is Sole Proprietor?:No
Enumeration Date:2010-05-08
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA136091207X00000X
OH35.129459207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery