Provider Demographics
NPI:1912967183
Name:YODER, DANIEL (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:YODER
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 1:8 MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2493
Mailing Address - Country:US
Mailing Address - Phone:828-258-1586
Mailing Address - Fax:828-258-6161
Practice Address - Street 1:2311 ASHEVILLE HWY
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-1500
Practice Address - Country:US
Practice Address - Phone:828-258-1586
Practice Address - Fax:828-258-6161
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200300542207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89134JCMedicaid
P00061933OtherRAILROAD MEDICARE
NC134JCOtherBLUE CROSS/BLUE SHIELD
NC2019196Medicare PIN
NC89134JCMedicaid
201916Medicare ID - Type Unspecified
NC2019196AMedicare PIN