MEDICARE: YALE UNIVERSITY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	207SG0201X	Clinical Genetics (M.D.) Physician
3	207T00000X	Neurological Surgery Physician
4	207V00000X	Obstetrics & Gynecology Physician
5	207W00000X	Ophthalmology Physician
6	207X00000X	Orthopaedic Surgery Physician
7	207Y00000X	Otolaryngology Physician
8	208000000X	Pediatrics Physician
9	2084N0400X	Neurology Physician
10	2084P0800X	Psychiatry Physician
11	207N00000X	Dermatology Physician
12	207P00000X	Emergency Medicine Physician
13	2085R0202X	Diagnostic Radiology Physician
14	208600000X	Surgery Physician
15	207L00000X	Anesthesiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205822236
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YALE UNIVERSITY

Provider Business Mailing Address
First Line	:	50 DIVISION ST
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06511-1936
Country	:	US
Telephone Number	:	203-785-2140
Fax Number	:	203-737-4091

Provider Business Practice Location Address
First Line	:	50 DIVISION ST
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06511-1936
Country	:	US
Telephone Number	:	203-785-2140
Fax Number	:	203-737-4091

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	DR. MARGARET MCGOVERN
Credential	:
Telephone Number	:	203-785-3266

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	04/05/2023

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Directions to “YALE UNIVERSITY ” Practice Location

Language	Start Address	Practice Location

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