MEDICARE: DR. WINSTON YAU FUI YAP MD

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	207P00000X	Emergency Medicine Physician	31923	KY
2	207Q00000X	Family Medicine Physician	31923	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000520563	OTHER	KY	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	2842219000	OTHER	KY	PASSPORT ADVANTAGE
4	50014779	OTHER	KY	PASSPORT

General Provider Information

NPI Number	:	1548288533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WINSTON YAU FUI YAP MD

Provider Business Mailing Address
First Line	:	309 11TH ST
Second Line	:
City	:	CARROLLTON
State	:	KY
Zip	:	41008-1435
Country	:	US
Telephone Number	:	502-255-7732
Fax Number	:	502-255-3970

Provider Business Practice Location Address
First Line	:	470 HWY. 421 N.
Second Line	:
City	:	BEDFORD
State	:	KY
Zip	:	40006-0247
Country	:	US
Telephone Number	:	502-255-7732
Fax Number	:	502-255-3970

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	09/24/2021

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