Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 302495 | NY |
N | 207Q00000X | Family Doctor | MD061848L | PA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 302495 | NY |
NPI | 1114978079 |
---|---|
Provider Name | Samuel Yost |
First Address | Rochester, NY 14617-5504 |
Second Address | Rochester, NY 14626-4136 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 26/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000472476 | HIGHMARK B S (01) | PA |
001746737 | (05) | PA |
1522422 | GATEWAY-WMG (01) | PA |
20076070 | AMERIHEALTH MERCY-WMG (01) | PA |
210881 | JOHNS HOPKINS (01) | PA |
242173 | UNISON-WMG (01) | PA |
50078672 | CAPITAL BLUE CROSS (01) | PA |
70823 | GEISINGER HEALTH PLAN (01) | PA |
7989829 | AETNA (01) | PA |
934613 | CAREFIRST MD BCBS (01) | MD |
G89718 | (02) |