Provider Demographics
NPI:1780883512
Name:FRANK W YODER MD
Entity type:Organization
Organization Name:FRANK W YODER MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:W
Authorized Official - Last Name:YODER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-890-7708
Mailing Address - Street 1:29 W COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2103
Mailing Address - Country:US
Mailing Address - Phone:614-890-7708
Mailing Address - Fax:614-890-5965
Practice Address - Street 1:29 W COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2103
Practice Address - Country:US
Practice Address - Phone:614-890-7708
Practice Address - Fax:614-890-5965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35036531Y207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0434912Medicare PIN
OHA76135Medicare UPIN