MEDICARE: FRANCIS JOSEPH YANOVIAK DO

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	207L00000X	Anesthesiology Physician	B42186	PA
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	B42186	PA
3	207L00000X	Anesthesiology Physician	899	SC

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346241312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCIS JOSEPH YANOVIAK DO

Provider Business Mailing Address
First Line	:	1 INDEPENDENCE PT
Second Line	:	SUITE 212
City	:	GREENVILLE
State	:	SC
Zip	:	29615-4545
Country	:	US
Telephone Number	:	864-797-6306
Fax Number	:

Provider Business Practice Location Address
First Line	:	102B OMNI DR
Second Line	:
City	:	SENECA
State	:	SC
Zip	:	29672-9448
Country	:	US
Telephone Number	:	864-885-7971
Fax Number	:	864-885-7860

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	01/24/2017

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