Provider Demographics
NPI:1831125756
Name:YETTER, MATHEW F (MD)
Entity Type:Individual
Prefix:MR
First Name:MATHEW
Middle Name:F
Last Name:YETTER
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 1:1100 TUNNEL ROAD
Mailing Address - Street 2:ENT CLINIC
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805
Mailing Address - Country:US
Mailing Address - Phone:828-298-7971
Mailing Address - Fax:828-299-2502
Practice Address - Street 1:1100 TUNNEL RD
Practice Address - Street 2:ENT CLINIC
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-2576
Practice Address - Country:US
Practice Address - Phone:828-298-7971
Practice Address - Fax:828-299-2502
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200301194207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89135AVMedicaid
E60085Medicare UPIN
NC2032324Medicare ID - Type Unspecified