YANCUN WISSEH MS
Complete NPI Record 1346762267
in Darby, PA
Active since July 12, 2017PECOS EnrolledAccepts Medicare Assignment
Complete NPI Dataset
This page contains the complete raw NPPES record for Yancun Wisseh, MS (NPI 1346762267) in Darby, PA. All 24 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1346762267 Field 1/24
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/24
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: WISSEH Field 3/24
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: YANCUN Field 4/24
- The first name of the provider, if the provider is an individual.
- Provider Credential Text: MS Field 5/24
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider First Line Business Mailing Address: 236 SPRING VALLEY RD Field 6/24
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: DARBY Field 7/24
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: PA Field 8/24
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 190231420 Field 9/24
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 10/24
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 2158688293 Field 11/24
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 236 SPRING VALLEY ROAD Field 12/24
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: DARBY Field 13/24
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: PA Field 14/24
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 19023 Field 15/24
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 16/24
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 2158688293 Field 17/24
- The telephone number associated with the location address of the provider being identified.
- NPI Deactivation Date: 12/5/2017 Field 20/24
- The date that the provider's NPI was deactivated in the NPS.
- NPI Reactivation Date: 11/16/2022 Field 21/24
- The date that the provider's NPI was reactivated in the NPS.
- Provider Gender Code: M Field 22/24
- The code designating the provider's gender if the provider is a person.
- Is Sole Proprietor: Y Field 23/24
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
Secondary Practice Locations 2
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
639 Isbell Rd Ste 380
Location 1/2Reno, NV 89509-4982 · Phone (832) 869-4818 · Fax (832) 241-2902
5656 S Power Rd
Location 2/2Gilbert, AZ 85295-8480 · Phone (832) 869-4818 · Fax (832) 241-2902
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