Provider Demographics
NPI:1801894795
Name:YOST, ROBYN LYNSKEY (P A - C)
Entity type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:LYNSKEY
Last Name:YOST
Suffix:
Gender:F
Credentials:P A - C
Other - Prefix:MRS
Other - First Name:ROBYN
Other - Middle Name:LYNSKEY
Other - Last Name:CALVERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:P A - C
Mailing Address - Street 1:3000 E DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65802-2492
Mailing Address - Country:US
Mailing Address - Phone:417-869-8000
Mailing Address - Fax:417-869-8000
Practice Address - Street 1:3000 E DIVISION ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65802-2492
Practice Address - Country:US
Practice Address - Phone:417-869-8000
Practice Address - Fax:417-869-8005
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO114860363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
S56561Medicare UPIN
000085545Medicare ID - Type Unspecified
000085548Medicare ID - Type Unspecified