DR. KEITH YOUNG (NPI# 1003854258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003854258 |
| Entity Type | Individual |
| Full Name | DR. KEITH YOUNG |
| Credential | M.D. |
| Practice Address |
205 S Mccrary St Woodbury TN 37190-1439 |
| Practice Telephone | 6155632891 |
| Practice Fax Number | 6155634582 |
| Mailing Telephone | 6155632891 |
| Mailing Fax Number | 6155634582 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2009-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD34850 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3865024 | 05 | |
| AMERICHOICE | TN0101 | 01 | |
| TN | BLUE CROSS BLUE SHIELD TN | 4019970 | 01 |
| AMERIGROUP/TENNCARE | 10066741 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417939414 | Keith P Young | Internal Medicine | 400 N State of Franklin Rd Rm 2746, Johnson City, TN 37604-6035 | 2005-11-16 |
| 1154597110 | Keith Young | Dentist | 5381 N Socrum Loop Rd, Lakeland, FL 33809-4272 | 2008-04-30 |
| 1821125071 | Keith William Young | Psychiatry & Neurology | 10780 Santa Monica Blvd, Suite 250, Los Angeles, CA 90025-4749 | 2007-02-27 |
| 1114087251 | Keith Young | Counselor | 175 Union St Ste C, Bangor, ME 04401-6116 | 2006-12-11 |
| 1295817443 | Keith Leung Young | Dentist | 37070 Newark Blvd, C, Newark, CA 94560-3798 | 2006-10-19 |
| 1629089859 | Keith R Young | Internal Medicine | 500 University Dr, Hershey, PA 17033-2360 | 2006-08-11 |
| 1346220274 | Keith B Young | Physician Assistant | 112 W Main St, Allegany, NY 14706-1204 | 2006-01-18 |
| Street Address |
205 S MCCRARY ST |
| City | WOODBURY |
| State | TN |
| Zip Code | 37190-1439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700823713 | Jeff Todd | Family Medicine | 205 S Mccrary St, Woodbury, TN 37190-1439 | 2006-05-31 |
| 1790256733 | Jennifer Courtway | Nurse Practitioner | 205 S Mccrary St, Woodbury, TN 37190-1499 | 2018-12-17 |
| 1912432139 | Brooke Marie Bowman Slaughter | Family Medicine | 205 S Mccrary St, Woodbury, TN 37190-1499 | 2017-04-25 |
| 1497135867 | Action Dme LLC | Durable Medical Equipment & Medical Supplies | 205 S Mccrary St, Suite 3, Woodbury, TN 37190-1439 | 2015-06-01 |
| 1407262975 | Rachel Rivers | Nurse Practitioner | 205 S Mccrary St, Woodbury, TN 37190-1439 | 2014-07-06 |
| 1013238856 | Gavin Butler Pinkston | Family Medicine | 205 S Mccrary St, Woodbury, TN 37190-1439 | 2010-06-16 |
| 1386667244 | Cannon County Healthcare PC | Family Medicine | 205 S Mccrary St, Woodbury, TN 37190-1439 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143891 | Results-ast Jv, LLC | Physical Therapist | 324 Doolittle Road, Woodbury, TN 37190 | 2020-10-26 |
| 1255407219 | Catherine Lorraine Levi | Physical Therapy Assistant | 119 West High Street, Woodbury, TN 37190 | 2006-11-28 |
| 1669807830 | Heather J Melton | Nurse Practitioner | 89 Mears Drive, Woodbury, TN 37190 | 2013-09-06 |
| 1639245681 | James L Mayes | Physical Therapist | 324 Doolittle Rd, Woodbury, TN 37190 | 2006-11-28 |
| 1811063878 | Melisa Johnson Curtis | Physical Therapy Assistant | 324 Doolittle Rd, Stones River Hospital Inpatient Rehab, Woodbury, TN 37190 | 2006-11-28 |
| 1437677796 | Woodbury Drug Center LLC | Pharmacy | 604 W Main St, Woodbury, TN 37190-1029 | 2017-09-06 |
| 1437148905 | Darryl T Deason | Dentist | 801b W Main St, Woodbury, TN 37190-1032 | 2005-10-18 |
| 1629067855 | Andrew P Bucher | Dentist | 801b W Main St, Woodbury, TN 37190-1032 | 2005-10-20 |
| 1003360793 | Woodbury Dental Partners | Dentist | 801 W Main St, Suite B, Woodbury, TN 37190-1047 | 2016-08-10 |
| 1407000417 | Darryl T Deason | Dentist | 801 W Main St, Suite B, Woodbury, TN 37190-1047 | 2008-11-05 |
| Find all providers in zip 37190 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942747365 | Balsam Partners, Pllc | Family Medicine | 203 W High St # 24, Woodbury, TN 37190-1147 | 2017-01-23 |
| 1720271356 | Mona Parmar | Family Medicine | 10248 Grand Oaks Trl, Woodbury, MN 55129-4249 | 2007-08-27 |
| 1831317320 | East Metro Family Practice, P.a. | Family Medicine | 2056 Woodlane Dr, Woodbury, MN 55125-2917 | 2007-04-23 |
| 1962578807 | Barbara J Roehl | Family Medicine | 75 W. Red Bank Ave, Woodbury, NJ 08096 | 2006-11-24 |
| 1104905462 | Andrea Jill Needleman | Family Medicine | 4 South Pomperaug Ave, Woodbury, CT 06798 | 2006-11-06 |
| 1306924915 | James Ilko | Family Medicine | 1687 Woodlane Drive, Suite 102, Woodbury, MN 55125-3045 | 2006-11-01 |
| 1942237151 | Sandra Louise Coffin | Family Medicine | 8360 City Centre Dr, Suite 120, Woodbury, MN 55125-3381 | 2006-06-26 |
| 1700823713 | Jeff Todd | Family Medicine | 205 S Mccrary St, Woodbury, TN 37190-1439 | 2006-05-31 |
| 1205882438 | Emi Chiusano | Family Medicine | 875 Mantua Pike, Woodbury, NJ 08096-3337 | 2006-05-26 |
| 1659332021 | Mary L Ezzo | Family Medicine | 8675 Valley Creek Road, Woodbury, MN 55125-2337 | 2006-03-28 |
| Find all providers in WOODBURY | ||||
Please comment or provide details below to improve the information on DR. KEITH YOUNG.
| 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.