Active NPIIndividual provider

Dr. Basil M Yurcisin II, MD

Surgery in Raleigh, North Carolina

NPI Number1003062050
Practice location
4207 Lake Boone Trl Ste 210, Raleigh, NC 27607-6685
Fax
919-784-2708
Last updated
June 5, 2025

Basil Michael Yurcisin is a Surgery based in Raleigh, NC. Basil Michael Yurcisin practices in Raleigh, NC and has the professional credentials of MD. The NPI Number for Basil Michael Yurcisin is 1003062050 and holds a License No. 25MA08777400 (NJ). The current practice location address for Basil Michael Yurcisin is 4207 Lake Boone Trl Ste 210, Raleigh, NC 27607-6685 and can be reached out via phone at 919-784-4200 and via fax at 919-784-2708.

Provider Profile Details

NPI Number
1003062050
Provider Name
Basil Michael Yurcisin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4207 Lake Boone Trl Ste 210, Raleigh, NC 27607-6685
Phone Number
919-784-4200
Fax Number
919-784-2708
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
August 11, 2008
Last Update Date
June 5, 2025
Certification Date
June 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
4207 Lake Boone Trl Ste 210
Raleigh, NC 27607-6685
Zip
27607-6685
Phone Number
919-784-4200
Fax Number
919-784-2708
Raleigh, NC 27607Get directions →

Provider Business Mailing Address Details

Address
225 Millburn Ave
Suite 204
Millburn, NJ 07041-1737
City
Millburn
State
NJ
Zip
07041-1737
Phone Number
973-218-1990
Fax Number
973-629-1274

License Information

License Number (1)
25MA08777400
License State (1)
NJ
Taxonomy (1)
Surgery · 208600000X
License Number (2)
2008-01198
License State (2)
NC
Taxonomy (2)
Surgery · 208600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Basil M Yurcisin II, MD?

The NPI number of Dr. Basil M Yurcisin II, MD is 1003062050. It was assigned on August 11, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Basil M Yurcisin II, MD?

Dr. Basil M Yurcisin II, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in NJ under license number 25MA08777400.

Where does Dr. Basil M Yurcisin II, MD practice?

The practice location is 4207 Lake Boone Trl Ste 210, Raleigh, NC 27607-6685. The office can be reached at 919-784-4200 (phone) or 919-784-2708 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003062050 directly on the NPPES registry website.

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