Healthcare Provider Details

I. General information

NPI: 1033361563
Provider Name (Legal Business Name): ERMEI YAO PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2008
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

IV. Provider business mailing address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

V. Phone/Fax

Practice location:
  • Phone: 319-356-8133
  • Fax: 319-353-7850
Mailing address:
  • Phone: 319-356-2287
  • Fax: 319-353-6290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number001936
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: