Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Yasuo Ishida, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1811973944

Yasuo Ishida, MD is an Obstetrics & Gynecology Physician in Sullivan, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

102 Progress Pkwy # A
Sullivan, MO 63080-2359
Phone: (573) 468-6011
Fax: (573) 468-7868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 33207 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 33207 (MO)

Record details

NPI number1811973944
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 20, 2005
Last updated in NPPESAugust 29, 2012
Mailing address6744 Clayton Rd, Saint Louis, MO 63117-1637

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