DR. ETHAN YUSSIM M.D.
NPI 1386847606
Radiology - Vascular & Interventional Radiology in Miami, FL

Active since June 06, 2007
1611 NW 12TH AVE, MIAMI, FL 33136(305) 585-1111 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ethan Yussim M.d. NPPES

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

DR. ETHAN YUSSIM M.D. (NPI 1386847606) is an individual vascular & interventional radiology provider in Miami, Florida, licensed in Florida (TRN10600) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1386847606
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameDR. ETHAN YUSSIMCredential: M.D.
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address3619 Ne 207th Street, Apt#2202Aventura, FL 33180 · (786) 280-5252
Sole ProprietorNo
Enumeration DateJune 6, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1386847606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License Licensed in FL · TRN10600
Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

1611 NW 12TH AVE, Miami, FL 33136

Other Identifiers 1

OtherTRN10600FL · Training License

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.

Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136

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 Ethan Yussim's NPI number?

The NPI number for Ethan Yussim is 1386847606. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Where is Ethan Yussim located?

Ethan Yussim practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 585-1111.

What is Ethan Yussim's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

When was this NPI record last updated?

The NPPES record for Ethan Yussim was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.