Provider Demographics
NPI:1518951466
Name:AMORN, YING K (MD)
Entity Type:Individual
Prefix:
First Name:YING
Middle Name:K
Last Name:AMORN
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 1:1220 BOARDMAN CANFIELD RD
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-4003
Mailing Address - Country:US
Mailing Address - Phone:330-726-0131
Mailing Address - Fax:330-726-2571
Practice Address - Street 1:1220 BOARDMAN CANFIELD RD
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-4003
Practice Address - Country:US
Practice Address - Phone:330-726-0131
Practice Address - Fax:330-726-2571
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-07
Last Update Date:2007-07-08
Deactivation Date:2006-03-25
Deactivation Code:
Reactivation Date:2006-03-31
Provider Licenses
StateLicense IDTaxonomies
OH35100237207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0346085Medicaid
OHAM0434213Medicare ID - Type Unspecified
A75861Medicare UPIN