MEDICARE: ANN YANAGI MD, PLLC

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	174400000X	Specialist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CDE1848	OTHER	CO	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	675359	OTHER	CO	BCBS

General Provider Information

NPI Number	:	1578500831
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANN YANAGI MD, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 7702
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80537-0702
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8277 SPINNAKER BAY DR
Second Line	:
City	:	WINDSOR
State	:	CO
Zip	:	80528-7532
Country	:	US
Telephone Number	:	970-663-2742
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	ANN YANAGI
Credential	:	MD
Telephone Number	:	970-663-2742

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	09/30/2010

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