Provider Demographics
NPI:1063408862
Name:YELK, JASON A (DO)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:A
Last Name:YELK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:202 SO PARK ST
Mailing Address - Street 2:MERITER HOSPITAL
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53715
Mailing Address - Country:US
Mailing Address - Phone:608-417-6103
Mailing Address - Fax:608-417-5934
Practice Address - Street 1:202 SO PARK ST
Practice Address - Street 2:MERITER HOSPITAL
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53715
Practice Address - Country:US
Practice Address - Phone:608-417-5695
Practice Address - Fax:608-417-5934
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH34-008608207R00000X
WI44725-21207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist