Healthcare Provider Details

I. General information

NPI: 1154397479
Provider Name (Legal Business Name): ADOLPH J YATES JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 02/02/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 CENTRE AVE STE 415
PITTSBURGH PA
15232-1311
US

IV. Provider business mailing address

5200 CENTRE AVE STE 415
PITTSBURGH PA
15232-1311
US

V. Phone/Fax

Practice location:
  • Phone: 412-802-4100
  • Fax:
Mailing address:
  • Phone: 412-802-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD424259
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberMD424259
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: