Provider Demographics
NPI:1124003579
Name:YALCINKAYA, MEHMET TAMER (MD)
Entity type:Individual
Prefix:
First Name:MEHMET
Middle Name:TAMER
Last Name:YALCINKAYA
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:PO BOX 25804
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27114-5804
Mailing Address - Country:US
Mailing Address - Phone:336-448-9100
Mailing Address - Fax:336-778-7995
Practice Address - Street 1:3821 FORRESTGATE DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-2930
Practice Address - Country:US
Practice Address - Phone:336-448-9100
Practice Address - Fax:336-778-7995
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200500326207V00000X, 207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5900594Medicaid
P00378859OtherRR MEDICARE
805709OtherPARTNERS
WV87428000Medicaid
VA10228841Medicaid
13887OtherBCBS
7084688OtherAETNA
E1818OtherMEDCOST
NC5900594Medicaid