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1114978079

NPI Code Detail

MEDICARE: SAMUEL YOST MD

MEDICARE: SAMUEL YOST MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	302495	NY
2	207Q00000X	Family Medicine Physician	MD061848L	PA
3	2086S0122X	Plastic and Reconstructive Surgery Physician	302495	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000472476	OTHER	PA	HIGHMARK B S
2	210881	OTHER	PA	JOHNS HOPKINS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1522422	OTHER	PA	GATEWAY-WMG
5	50078672	OTHER	PA	CAPITAL BLUE CROSS
6	7989829	OTHER	PA	AETNA
7	934613	OTHER	MD	CAREFIRST MD BCBS
8	20076070	OTHER	PA	AMERIHEALTH MERCY-WMG
9	242173	OTHER	PA	UNISON-WMG
10	70823	OTHER	PA	GEISINGER HEALTH PLAN

General Provider Information

NPI Number	:	1114978079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMUEL YOST MD

Provider Business Mailing Address
First Line	:	100 KINGS HWY S
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14617-5504
Country	:	US
Telephone Number	:	585-922-3395
Fax Number	:	585-922-5114

Provider Business Practice Location Address
First Line	:	1561 LONG POND RD STE 133
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14626-4136
Country	:	US
Telephone Number	:	585-723-7670
Fax Number	:	585-723-7671

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	04/26/2021

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Directions to “ SAMUEL YOST MD” Practice Location

Language	Start Address	Practice Location

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