| Provider / Organization | NPI | Date Certified |
|---|---|---|
| COREY RYAN YOST | 1568020097 | 2022-10-01 |
Corey R Yost [M] graduated in 2019 and primarily specializes in Physician Assistant.
Corey Ryan Yost is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1568020097. Registration indicates Corey Ryan Yost is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| PECOS ID | 4082943105 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Corey Ryan Yost PA-C |
| Practice Office Address | 411 LAUREL ST STE A300 DES MOINES, IA US |
| Practice Office Telephone | 5152822921 |
| Mailing Address | 1221 PLEASANT ST STE 100 DES MOINES, IA 503091424 US |
| Business Telephone | 5152822921 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 5320 Merced St | Des Moines, IA 503101430 | 5633204038 |
| 1221 Pleasant St Ste 100 | Des Moines, IA 503091424 | 5152822921 |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 097541
IA |
| 193400000X SING | Group Code |