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DR. YANNICK MAXIME MOMO TEFO DPT, DPM
NPI 1093383564
Podiatrist in Erie, PA

Active since June 11, 2021

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2025, Jun 24, 2025, Jun 11, 2021 (3 updates tracked since 2021).

About Dr. Yannick Maxime Momo Tefo Dpt, Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. YANNICK MAXIME MOMO TEFO DPT, DPM (NPI 1093383564) is an individual podiatrist in Erie, Pennsylvania, licensed in Pennsylvania (SC007589) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1093383564
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. YANNICK MAXIME MOMO TEFOCredential: DPT, DPM
Location Address5515 PEACH STErie, PA 16509-2603
Mailing Address1200 Williamsburg CirGrayslake, IL 60030-7904 · (563) 676-3316
Phone(814) 868-8217
Sole ProprietorYes
Enumeration DateJune 11, 2021
Last NPPES UpdateAugust 6, 20253 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1093383564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in PA · SC007589
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPhysical TherapistTaxonomy 225100000X · License 070.024167 (IL)
5515 PEACH ST, Erie, PA 16509
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDEN KIMIAGAROV DO
Student in an Organized Health Care Education/Training Program
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 868-8217
NATALIE A KUJAN LDN
Dietitian, Registered
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
DR. GARRETT P JAGEMAN PHARMD
Pharmacist
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
ERIN CARLSON PHARMD
Pharmacist
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 868-8267
NICHOLAS PAUL PANICO DO
Student in an Organized Health Care Education/Training Program
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
DALTON WADE SUMMERHILL
Student in an Organized Health Care Education/Training Program
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
ALYSE CHRISTINE HAGGERTY RN
Registered Nurse (Psychiatric/Mental Health, Adult)
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
JOSEPH AARON HOLMES D.O.
Psychiatry & Neurology (Psychiatry)
5515 PEACH ST
ERIE, PA 16509
Erie County (181) 486-8820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yannick Momo Tefo's NPI number?

The NPI number for Yannick Momo Tefo is 1093383564. It was assigned to this individual provider in the NPPES registry on June 11, 2021.

Where is Yannick Momo Tefo located?

Yannick Momo Tefo practices at 5515 Peach St, Erie, PA 16509. The listed phone number is (814) 868-8217.

What is Yannick Momo Tefo's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Yannick Momo Tefo was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.