Provider Demographics
NPI:1336107911
Name:YOST, MURRAY A (MD)
Entity Type:Individual
Prefix:
First Name:MURRAY
Middle Name:A
Last Name:YOST
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 1:811 7TH AVE S
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-6715
Mailing Address - Country:US
Mailing Address - Phone:239-263-7425
Mailing Address - Fax:239-263-3430
Practice Address - Street 1:811 7TH AVE S
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-6715
Practice Address - Country:US
Practice Address - Phone:239-263-7425
Practice Address - Fax:239-263-3430
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY123535207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY8494418Medicaid
NY00010193002OtherUNIVERA LEGACY#
NY040426002419OtherFIDELIS LEGACY#
NY123535-7WOtherWORKERS COMP LEGACY#
NY000506581009OtherHEALTH NOW BCBS LEGACY#
NY0709763OtherIHA LEGACY#
NY0709763OtherIHA LEGACY#
C49521Medicare UPIN
NY040426002419OtherFIDELIS LEGACY#