Provider Demographics
NPI:1891772034
Name:YAFFE, MICHAEL E (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:E
Last Name:YAFFE
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 1:5400 FRANTZ RD
Mailing Address - Street 2:STE 250
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-4144
Mailing Address - Country:US
Mailing Address - Phone:614-533-6553
Mailing Address - Fax:614-544-6370
Practice Address - Street 1:3773 OLENTANGY RIVER RD LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3425
Practice Address - Country:US
Practice Address - Phone:614-566-4028
Practice Address - Fax:614-544-2346
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-04-7422207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0589573Medicaid
OHPENDINGMedicare PIN
OH0526627Medicare PIN
OHA80557Medicare UPIN
OH9283125Medicare PIN
OH0526624Medicare UPIN
OH0589573Medicaid
OHGR9271566Medicare PIN