DR. YOUNG H AN (NPI# 1003808593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003808593 |
| Entity Type | Individual |
| Full Name | DR. YOUNG H AN |
| Credential | M.D. |
| Practice Address |
6525 Professional Pl Suite C Riverdale GA 30274-2519 |
| Mailing Address |
4380 Georgetown Sq Ste 1002 Atlanta GA 30338-6254 |
| Practice Telephone | 7709912800 |
| Practice Fax Number | 7709973827 |
| Mailing Telephone | 7702208400 |
| Mailing Fax Number | 7702349979 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2007-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 52050 | GA | Allopathic & Osteopathic Physicians |
| N | 207YS0012X |
Otolaryngology Specialization: Sleep Medicine |
052050 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | CIGNA | 8711892 | 01 |
| GA | 89124771A | 05 | |
| GA | 89124771B | 05 | |
| GA | KAISER PERMANENTE | 6376 | 01 |
| GA | 89124771C | 05 | |
| GA | MULTIPLAN | 12308453 | 01 |
| GA | BCBS OF GEORGIA | 52887621 | 01 |
| GA | AETNA | 7388707 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659513794 | Young Cho An | Anesthesiology | 13700 Veterans Memorial Dr Ste 385, Houston, TX 77014-1048 | 2009-04-06 |
| 1447318548 | Young Jun An | Dentist | 5658 Sepulveda Blvd Ste 204, Van Nuys, CA 91411-2927 | 2006-12-04 |
| 1851625198 | Young R An | Physical Therapist | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2009-09-18 |
| Street Address |
6525 PROFESSIONAL PL SUITE C |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30274-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568469799 | Danko Cerenko | Otolaryngology | 6525 Professional Pl, Suite C, Riverdale, GA 30274-2519 | 2005-07-01 |
| 1316320120 | Integrated Health and Injury Center | Chiropractor | 6525 Professional Pl, C, Riverdale, GA 30274-2519 | 2015-06-30 |
| 1902288541 | Integrated Health and Injury Center | Health Maintenance Organization | 6525 Professional Pl, C, Riverdale, GA 30274-2519 | 2015-06-19 |
| 1326478892 | Advance Health and Personal Injury | Family Medicine | 6525 Professional Pl, Suite C, Riverdale, GA 30274-2519 | 2013-11-20 |
| 1134568330 | Tanzie Morgan | Registered Nurse | 6525 Professional Pl, Riverdale, GA 30274-2519 | 2013-06-20 |
| 1801233671 | Orthopaedic Solutions, PC | Orthopaedic Surgery | 6525 Professional Pl, Suite A, Riverdale, GA 30274-2519 | 2013-06-03 |
| 1801239298 | Advance Medical Health Service Inc | Pain Medicine | 6525 Professional Pl, Suite C, Riverdale, GA 30274-2519 | 2013-04-16 |
| 1437494523 | Candid Medical Center, LLC | Pain Medicine | 6525 Professional Pl, Suite C, Riverdale, GA 30274-2519 | 2012-11-30 |
| 1811250244 | Candid Medical Group LLC | Clinic/Center | 6525 Professional Pl, Suite C, Riverdale, GA 30274-2519 | 2012-06-20 |
| 1942477765 | Atlanta Orthopedic & Arthroscopy Center, P. C. | Specialist | 6525 Professional Pl, Suite A, Riverdale, GA 30274-2519 | 2008-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
| 1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
| 1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
| 1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
| 1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
| 1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
| 1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
| 1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
| Find all providers in zip 30274 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568469799 | Danko Cerenko | Otolaryngology | 6525 Professional Pl, Suite C, Riverdale, GA 30274-2519 | 2005-07-01 |
| 1609036144 | Kunkes Ear Nose & Throat PC | Otolaryngology | 86 Upper Riverdale Rd, Suite 201, Riverdale, GA 30274 | 2008-06-09 |
| 1225105489 | Matthew Edwin Davis | Otolaryngology | 33 Upper Riverdale Rd Sw, Suite 117, Riverdale, GA 30274-2626 | 2006-11-30 |
| 1932193117 | Howard Taylor | Otolaryngology | 51 State Rt 23, Floor 2, Riverdale, NJ 07457-1625 | 2005-09-02 |
| 1538166574 | Jeffrey Alan Kunkes | Otolaryngology | 33 Upper Riverdale Rd Sw, Suite 10, Riverdale, GA 30274-2626 | 2005-07-06 |
| 1023015195 | Dozier Russell Hood | Otolaryngology | 6525 Professional Pl, Suite C, Riverdale, GA 30274-2519 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801402714 | Top Dog Solutions LLC | Otolaryngology | 4295 Interstate Dr Ste B, Macon, GA 31210-6815 | 2020-09-17 |
| 1164076600 | Oglethorpe Ear, Nose & Throat, LLC | Otolaryngology | 219 West Boggs Street, Lexington, GA 30648 | 2019-08-01 |
| 1154822971 | Coastal Ear, Nose & Throat | Otolaryngology | 200 Blue Moon Xing Ste 103, Pooler, GA 31322-9698 | 2018-02-27 |
| 1376928069 | Wiley A. Parker M.d PC | Otolaryngology | 5669 Peachtree Dunwoody Ste 295, Atlanta, GA 30342-1719 | 2015-07-23 |
| 1871970210 | North Atlanta Ear Nose & Throat PC | Otolaryngology | 4150 Deputy Bill Cantrell Memorial Dr., Suite 260, Cumming, GA 30040 | 2015-05-06 |
| 1235516741 | Alicia Bernstein | Otolaryngology | 3400c Old Milton Pkwy Ste 365, Alpharetta, GA 30005-4438 | 2015-05-04 |
| 1730576638 | Mark Arnold | Otolaryngology | 550 Peachtree St Ne Ste 1135550, Atlanta, GA 30308-2247 | 2015-04-20 |
| 1851789580 | William Lawrence Nicholson | Otolaryngology | 360 W 37th St, Sea Island, GA 31561-9748 | 2015-01-05 |
| 1528473881 | Nnenna Ezeilo | Otolaryngology | 619 S 8th St Ste 304, Griffin, GA 30224 | 2014-06-25 |
| 1922413343 | Colin Wyatt Fuller | Otolaryngology | 1120 Fifteenth St, Bp-4109, Augusta, GA 30912 | 2014-06-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.