Organization
ASSOCIATION OF SPECIALTY PHYSICIANS, INC
Active
Organization
ASSOCIATION OF SPECIALTY PHYSICIANS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL DALE YAKISH M.D. (PRESIDENT)
(724) 775-4242
Entity
Organization
Contact information
Practice address
1030 BEANER HOLLOW RD, BEAVER, PA 15009-9723
(724) 775-4242
(724) 775-4960
Mailing address
1030 BEANER HOLLOW RD, BEAVER, PA 15009-9723
(724) 775-4242
(724) 775-4960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015810470017
—
PA
Enumeration date
09/27/2005
Last updated
06/30/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up