Provider Demographics
NPI:1578676854
Name:YOO, HEUI GYEONG (MD)
Entity Type:Individual
Prefix:DR
First Name:HEUI
Middle Name:GYEONG
Last Name:YOO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HEUI
Other - Middle Name:GYEONG TORY
Other - Last Name:YOO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1861 POWDER MILL RD
Mailing Address - Street 2:ATTN MEDICAL STAFF OFFICE
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-4723
Mailing Address - Country:US
Mailing Address - Phone:717-718-2041
Mailing Address - Fax:717-718-3470
Practice Address - Street 1:1938 SECURITY DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4727
Practice Address - Country:US
Practice Address - Phone:717-741-5600
Practice Address - Fax:717-741-6750
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD431704207R00000X
MDD0056199207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101917597Medicaid
PA7886144OtherAETNA
PAP008712OtherGATEWAY-WMG
PA013965OtherJOHNS HOPKINS
MD127702200Medicaid
PA108717OtherGEISINGER
PA1967832OtherHIGHMARK BLUE SHIELD
MD667LMedicare ID - Type Unspecified
PA108717OtherGEISINGER
H24149Medicare UPIN
PA101917597Medicaid