Provider Demographics
NPI:1083831606
Name:JOHN E YERG II MD PLLC
Entity type:Organization
Organization Name:JOHN E YERG II MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:YERG
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:202-966-8868
Mailing Address - Street 1:5410 CONNECTICUT AVE NW
Mailing Address - Street 2:STE 117
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-2859
Mailing Address - Country:US
Mailing Address - Phone:202-966-8868
Mailing Address - Fax:202-244-3071
Practice Address - Street 1:5410 CONNECTICUT AVE NW
Practice Address - Street 2:STE 117
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-2859
Practice Address - Country:US
Practice Address - Phone:202-966-8868
Practice Address - Fax:202-244-3071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC15876207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
518805OtherMAMSI
G589OtherBLUECROSSBLUESHIELD
DCG01109Medicare PIN