EDWARD HENRY YOB (DO) – MOHS-Micrographic Surgery Physician, NPI 1205825619

EDWARD HENRY YOB (DO) is a healthcare provider. based in Tulsa, Oklahoma. specializing in MOHS-Micrographic Surgery Physician. They hold the professional credentials DO. They hold a License No. 2842 (OK). The NPI Number for EDWARD HENRY YOB (DO) is 1205825619

Main info

Male
51 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD HENRY YOB (DO)
NPI
1205825619
Phone
(918) 307-0215
Address
8803 S 101ST EAST AVE
Enumeration Date
18 October 2005
Last Update Date
16 June 2011

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9183070215
Graduation Year
1975 (51 years ago)
PAC ID
7911995436
Group Practice PAC ID
0042513558
Professional Enrollment ID
I20100521000514
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for EDWARD HENRY YOB (DO)

  • South 101st East Avenue, Tulsa, Tulsa County, Oklahoma, 74129, United States

    SUITE 335

    TULSA, OK 741337550

    Phone: (918) 307-0215

    Fax: (918) 250-7669

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-05-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100521000514IDermatologyOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74133)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042513558View full group profile
NameSpecialtyState
Medical OncologyOK
Gynecological Oncology, Obstetrics/GynecologyOK
-OK
Nurse PractitionerOK
-OK
-OK
-OK
Surgical Oncology, General SurgeryOK
-OK
Radiation OncologyOK

Reviews

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Frequently asked questions

What NPI should I save for EDWARD HENRY YOB (DO)?
Save NPI 1205825619 if you need a stable reference for EDWARD HENRY YOB (DO).
Is EDWARD HENRY YOB (DO) active in the national directory?
EDWARD HENRY YOB (DO)'s public NPI profile is in an active state.
What field does EDWARD HENRY YOB (DO) work in?
You can think of EDWARD HENRY YOB (DO) as practicing within MOHS-Micrographic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where does public data place EDWARD HENRY YOB (DO)?
The snapshot lists Tulsa, Oklahoma for EDWARD HENRY YOB (DO); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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