MEDICARE: ASSOCIATION OF SPECIALTY PHYSICIANS, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207X00000X	Orthopaedic Surgery Physician
2	208600000X	Surgery Physician
3	208800000X	Urology Physician

General Provider Information

NPI Number	:	1265727655
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATION OF SPECIALTY PHYSICIANS, INC.

Provider Business Mailing Address
First Line	:	1030 BEANER HOLLOW RD
Second Line	:
City	:	BEAVER
State	:	PA
Zip	:	15009-9723
Country	:	US
Telephone Number	:	724-775-4242
Fax Number	:	724-775-4960

Provider Business Practice Location Address
First Line	:	48462 BELL SCHOOL RD
Second Line	:
City	:	EAST LIVERPOOL
State	:	OH
Zip	:	43920-9625
Country	:	US
Telephone Number	:	724-775-4242
Fax Number	:	724-775-4960

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SAMUEL DALE YAKISH
Credential	:	M.D.
Telephone Number	:	724-775-4242

Provider Enumeration Date	:	06/14/2011
Last Update Date	:	03/06/2012

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