MEDICARE: DR. BARBARA ANN YEAGER DPM

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	213E00000X	Podiatrist	36-00-3297-Y	OH

General Provider Information

NPI Number	:	1417060484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA ANN YEAGER DPM

Provider Business Mailing Address
First Line	:	48 OTTERBEIN DR
Second Line	:
City	:	LEXINGTON
State	:	OH
Zip	:	44904-9700
Country	:	US
Telephone Number	:	419-884-2637
Fax Number	:

Provider Business Practice Location Address
First Line	:	1456 PARK AVE W
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44906-2700
Country	:	US
Telephone Number	:	419-529-4602
Fax Number	:	419-529-4664

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

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	07/08/2007

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