Individual
JOHN V YACONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1011 DRESSER CT, RALEIGH, NC 27609-7323
(919) 792-3930
(855) 251-4289
Mailing address
1502 W NC HIGHWAY 54 STE 103, DURHAM, NC 27707-5572
(919) 354-0840
(919) 908-8167
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9601110
NC
207RG0100X
Gastroenterology Physician
Primary
9601110
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1250G
BLUE CROSS BLUE SHIELD NC
NC
05
—
1811049307
—
NC
Enumeration date
01/17/2007
Last updated
03/27/2026
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