Individual
DORCAS S YOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
707 W 2ND ST, BLOOMINGTON, IN 47403-2209
(812) 334-5081
(812) 334-5091
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001630A
IN
363AS0400X
Surgical Physician Assistant
085002858
IL
363AS0400X
Surgical Physician Assistant
PA9110831
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090540472
MEDICARE PTAN
IN
05
—
300032276
—
IN
Enumeration date
12/13/2006
Last updated
03/13/2024
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