Provider Demographics
NPI:1548366180
Name:YOST, WILLIAM F (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:F
Last Name:YOST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 ANNABERG DR
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-5740
Mailing Address - Country:US
Mailing Address - Phone:504-442-4393
Mailing Address - Fax:
Practice Address - Street 1:1757 IMPERIAL BLVD.
Practice Address - Street 2:SUITE 230A
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-5362
Practice Address - Country:US
Practice Address - Phone:337-310-2832
Practice Address - Fax:228-831-1868
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS14913207L00000X
LAMD.11730R207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS01458513Medicaid
LA1429015Medicaid
MS050000816Medicare ID - Type Unspecified
LA4N575CW36Medicare PIN