Provider Demographics
NPI:1538476932
Name:YOCUM ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:YOCUM ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:YOCUM
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:717-272-4421
Mailing Address - Street 1:940 CUMBERLAND ST.
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042
Mailing Address - Country:US
Mailing Address - Phone:717-272-4421
Mailing Address - Fax:717-270-0705
Practice Address - Street 1:940 CUMBERLAND ST.
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042
Practice Address - Country:US
Practice Address - Phone:717-272-4421
Practice Address - Fax:717-270-0705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-07
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS005097-L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001052914000Medicaid
154878OtherBLUE SHIELD
02611100OtherBLUE CROSS
PA02611100OtherBC
PA154878OtherBS
PA001052914000Medicaid
PA154878Medicare Oscar/Certification