Provider Demographics
NPI:1316974876
Name:YONGSMITH, HOPE R (MD)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:R
Last Name:YONGSMITH
Suffix:
Gender:
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 6001
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58108-6001
Mailing Address - Country:US
Mailing Address - Phone:701-364-3300
Mailing Address - Fax:701-364-8906
Practice Address - Street 1:2101 ELM ST N
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58102-2417
Practice Address - Country:US
Practice Address - Phone:701-232-3241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND7916207W00000X
MN40848207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN61D19YOOtherMNBS #
ND15928OtherNDBS #
MN15924OtherNDBS #
ND807916OtherND VISION #
ND951023100Medicaid
ND10695Medicaid
ND55D02YOOtherMNBS #
ND933S8YOOtherMNBS #
NDND200032OtherLHS #
ND911587OtherAMERICA'S PPO/ARAZ #
ND933S8YOOtherMNBS #