Provider Demographics
NPI:1831120773
Name:YANG, JUNPING (MD)
Entity Type:Individual
Prefix:DR
First Name:JUNPING
Middle Name:
Last Name:YANG
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 1:901 HEARTLAND RD
Mailing Address - Street 2:SUITE 4810
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-6200
Mailing Address - Country:US
Mailing Address - Phone:816-271-1343
Mailing Address - Fax:816-271-1321
Practice Address - Street 1:901 HEARTLAND RD
Practice Address - Street 2:SUITE 4810
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-6200
Practice Address - Country:US
Practice Address - Phone:816-271-1343
Practice Address - Fax:816-271-1321
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO108874207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO392551OtherHEALTHLINK
MO10001498100OtherCHP
MO209238203Medicaid
MO27379011OtherBCBS KC
MO106092OtherCOVENTRY
MO26D0975772OtherCLIA
MO2456405OtherAETNA
MO460003044OtherRR MEDICARE
MO460003044OtherRR MEDICARE
MO209238203Medicaid