IndividualActive
Mary Yaldoo, PA-C
NPI 1972108231 · Physician Assistant · Southfield, MI
Provider details
- NPI number
- 1972108231
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5601010296 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
18591 W 10 Mile Rd
Southfield, MI 48075-2619
Phone: (248) 935-0102
Street-level locationGet directions
Mailing address
18000 W 9 Mile Rd Ste 200
Southfield, MI 48075-4020
Registry dates
- Enumerated
- 2020-12-03
- Last updated
- 2025-12-16
- Certified
- 2025-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.