Provider Demographics
NPI:1154397479
Name:YATES, ADOLPH J JR (MD)
Entity type:Individual
Prefix:DR
First Name:ADOLPH
Middle Name:J
Last Name:YATES
Suffix:JR
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 1:5200 CENTRE AVE STE 415
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1311
Mailing Address - Country:US
Mailing Address - Phone:412-802-4100
Mailing Address - Fax:
Practice Address - Street 1:5200 CENTRE AVE STE 415
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1311
Practice Address - Country:US
Practice Address - Phone:412-802-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD424259174400000X, 207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001816466Medicaid
PA078949E0DMedicare ID - Type Unspecified
PA001816466Medicaid