Provider Demographics
NPI:1689656472
Name:DO, YENA H (DPM)
Entity Type:Individual
Prefix:
First Name:YENA
Middle Name:H
Last Name:DO
Suffix:
Gender:F
Credentials:DPM
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Mailing Address - Street 1:2211 MASSACHUSETTS AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140-1211
Mailing Address - Country:US
Mailing Address - Phone:617-821-6329
Mailing Address - Fax:617-354-3877
Practice Address - Street 1:2211 MASSACHUSETTS AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140-1211
Practice Address - Country:US
Practice Address - Phone:617-821-6329
Practice Address - Fax:617-354-3877
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2012-06-23
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Provider Licenses
StateLicense IDTaxonomies
MA2217213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0385140Medicaid
70142OtherHEALTHY START
MAAA69029OtherHARVARD PILGRIM HEALTHCAR
0385140OtherMEDICAID WELFARE
MA1368003OtherAETNA US HEALTHCARE
MA1689656472OtherNEIGHBORHOOD HEALTH PLAN
7022085OtherCIGNA HEALTH PLAN
MA95995101OtherNETWORK HEALTH
MA205191632OtherUNITED HEALTHCARE
MA205191632OtherCOMMONWEALTH INDEMNITY
MA44137OtherTUFTS
Y71115OtherBLUE SHIELD HMO BLUE
Y71115OtherBLUE SHIELD INDEMNITY
70142OtherCHILDRENS MEDICAL SECURIT
MA90539OtherFALLON COMMUNITY HEALTH
MA205191632OtherGREATWEST HEALTHCARE
Y75147OtherMEDICARE B
MA0385140Medicaid