Angela Yetman

MD | Pediatric Cardiology | Female

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Complete Profile:

Angela Yetman basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Angela Yetman
Credential :	MD
Gender :	Female

Business Address:

Angela Yetman address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	100 Mario Capecchi Dr Salt Lake City, UT, 84113-1103 United States
Phone Number :	801-662-5400

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1891885471
NPI Entity Type :	Individual
First Enrolment Date :	13 Oct, 2006
Last Updated On :	26 Nov, 2013

Medicare Participation:

Angela Yetman participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	9931185832
Medicare Enrollment ID :	I20140714001359
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	1991
Accepts Medicare?	Yes. Angela Yetman accepts medicare insurance.

Group Practice Association:

Angela Yetman is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Angela Yetman is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Unmc Physicians	6002728391	1273	Emile 42nd St Omaha, NE - 681980001 Ph: 4025594015	Yes
Unmc Physicians	6002728391	1273	987400 Nebraska Medical Ctr Unmc Physicians Nebraska Medical Center Omaha, NE - 681987400 Ph: 4025594000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Angela Yetman are as mentioned. Primary taxonomy code for Angela Yetman, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	40344	CO

Legacy Identifiers:

Other legacy medical identifiers of Angela Yetman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
91013441	MEDICAID	CO

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 413021 Salt Lake City, UT, 84141-3021 United States
Phone Number :	801-213-3900

Business Location:

Patients can refer following map for directions to Angela Yetman practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.