Basic Information
| Provider Information | |||||||||
| NPI: | 1861790487 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YU | ||||||||
| FirstName: | HINGWAN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O., M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 123 E CRAWFORD ST | ||||||||
| Address2: | |||||||||
| City: | FINDLAY | ||||||||
| State: | OH | ||||||||
| PostalCode: | 458404802 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5672049459 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 545 VALLEY VIEW DR | ||||||||
| Address2: | |||||||||
| City: | MOLINE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 61265 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3097625560 | ||||||||
| FaxNumber: | 3097627351 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/06/2011 | ||||||||
| LastUpdateDate: | 10/11/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/11/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD.37171 | AL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 34.013627 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RS0012X | 6081 | OK | N | Allopathic & Osteopathic Physicians | Internal Medicine | Sleep Medicine | 208VP0000X | 02005237A | IN | N | Allopathic & Osteopathic Physicians | Pain Medicine | Pain Medicine | 208VP0000X | 036.145007 | IL | N | Allopathic & Osteopathic Physicians | Pain Medicine | Pain Medicine | 208VP0014X | 6081 | OK | N | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine | 208M00000X | 02005237A | IN | Y | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | 200660380A | 05 | OK | MEDICAID | 300008372 | 05 | IN | MEDICAID |