Provider Demographics
NPI:1790734002
Name:YOST, JEFFREY M (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:M
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:PO BOX 1645
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26507-1645
Mailing Address - Country:US
Mailing Address - Phone:304-598-2291
Mailing Address - Fax:304-598-2293
Practice Address - Street 1:99 J D ANDERSON DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-4000
Practice Address - Country:US
Practice Address - Phone:304-598-2291
Practice Address - Fax:304-598-2293
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV093052085R0202X
OH35-036013 Y2085R0202X
IL361152722085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000385302OtherBCBS
OH0153588Medicaid
WV1036221OtherWV WORKERS' COMP
OHP00286495OtherRAILROAD MC
WV0121875000Medicaid
WVP00152306OtherRAILROAD MC
733609OtherFIRST HEALTH
WV1036221OtherWV WORKERS' COMP
OH4177901Medicare PIN
WVP00152306OtherRAILROAD MC