DR. MICHAEL T YOUNG (NPI# 1023174042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023174042 |
Entity Type | Individual |
Full Name | DR. MICHAEL T YOUNG |
Credential | DO |
Practice Address |
260 Hospital Dr Suite 102 Ukiah CA 95482-4568 |
Mailing Address |
Po Box 2739 Ukiah CA 95482-2739 |
Practice Telephone | 7074638028 |
Practice Fax Number | 7074627382 |
Mailing Telephone | 7074638000 |
Mailing Fax Number | 7074621111 |
Enumeration Date | 2006-12-28 |
Last Update Date | 2015-06-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation | OT011347 | PA | Allopathic & Osteopathic Physicians |
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
20A10769 | CA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477029254 | Michael Young | Case Manager/Care Coordinator | 1541 E 191st St Apt 141, Euclid, OH 44117-1335 | 2018-10-18 |
1346722378 | Michael Bernard Young | Respiratory Therapist, Registered | 2204 E Panama Drive, Centennial, CO 80121 | 2018-09-06 |
1073962676 | Michael Young | Physician Assistant | 1791 Route 23b, Leeds, NY 12451-1546 | 2016-06-06 |
1013361534 | Michael L Young | Chiropractor | 2530 Sir Barton Way Ste 125, Lexington, KY 40509-2275 | 2016-04-21 |
1992054019 | Michael Roy Young | Physical Therapist | 9010 Blaine St, Joint Base Lewis Mcchord, WA 98433-1219 | 2012-09-05 |
1932434016 | Michael C. Young | Optometrist | 1542 Golf Course Rd Ste 201, Grand Rapids, MN 55744-3537 | 2009-10-07 |
1083835391 | Michael Lloyd Young | Dentist | 39242 Dequindre Rd, Suite 106, Sterling Heights, MI 48310-4831 | 2007-05-02 |
1609093632 | Michael Young | Radiology | St Johns Hospital, 800 East Carpenter St., Springfield, IL 62769-0001 | 2007-04-19 |
1700902822 | Michael Young | Optometrist | 12424 W Dodge Rd Ste 104, Omaha, NE 68154-2322 | 2007-03-21 |
1831235167 | Michael Wayne Young | Dentist | 3195 S Main St Ste 225, South Salt Lake, UT 84115-3799 | 2007-01-30 |
Street Address |
260 HOSPITAL DR SUITE 102 |
City | UKIAH |
State | CA |
Zip Code | 95482-4568 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609874445 | Jon Stephen Portnoff | Internal Medicine | 260 Hospital Dr, Suite 207, Ukiah, CA 95482-4533 | 2005-07-13 |
1114557345 | Shakuntala Blomquist | Nurse Practitioner | 260 Hospital Dr, Ukiah, CA 95482-4568 | 2020-01-15 |
1184175895 | Adventist Health Physicians Network | Pediatrics | 260 Hospital Dr, Suite 204, Ukiah, CA 95482-4568 | 2016-10-18 |
1447701156 | Adventist Health Physicians Network | Family Medicine | 260 Hospital Dr, Suite 209, Ukiah, CA 95482-4568 | 2016-10-18 |
1285185991 | Adventist Health Physicians Network | Internal Medicine | 260 Hospital Dr, Suite 103, Ukiah, CA 95482-4568 | 2016-10-18 |
1124499413 | Lori Katnik | Nurse Practitioner | 260 Hospital Dr, Ukiah, CA 95482-4568 | 2015-10-13 |
1053790915 | Adventist Health Physicians Network | Physical Medicine & Rehabilitation | 260 Hospital Dr, Suite 102, Ukiah, CA 95482-4568 | 2015-05-26 |
1659764777 | Adventist Health Physicians Network | Orthopaedic Surgery | 260 Hospital Dr, Suite 107, Ukiah, CA 95482-4568 | 2015-03-13 |
1609269984 | Adventist Health Physicians Network | Family Medicine | 260 Hospital Dr, Suite 207, Ukiah, CA 95482-4568 | 2015-03-11 |
1326431669 | Adventist Health Physicians Network | Urology | 260 Hospital Dr, Suite 201, Ukiah, CA 95482-4568 | 2015-03-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
Find all providers in zip 95482 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053790915 | Adventist Health Physicians Network | Physical Medicine & Rehabilitation | 260 Hospital Dr, Suite 102, Ukiah, CA 95482-4568 | 2015-05-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881295608 | San Diego Comprehensive Pain Management Center, Inc | Physical Medicine & Rehabilitation | 1575 W Main St, El Centro, CA 92243-2211 | 2020-11-06 |
1760013536 | Aveva Medical Aesthetics Inc. | Physical Medicine & Rehabilitation | 4702 W 1st St Ste C, Santa Ana, CA 92703-3100 | 2020-01-30 |
1902445620 | Irina L Melnik, Md Professional Corporation | Physical Medicine & Rehabilitation | 655 Redwood Hwy Frontage Rd Ste 203, Mill Valley, CA 94941-3025 | 2019-12-27 |
1124669544 | Algos Inc., A Medical Corporation | Physical Medicine & Rehabilitation | 26357 Mcbean Pkwy Ste 210, Santa Clarita, CA 91355-4497 | 2019-10-07 |
1174084578 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 802 Iowa Ave, Los Banos, CA 93635-3450 | 2019-03-28 |
1083175483 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 777 S Ham Ln Ste G, Lodi, CA 95242-3593 | 2019-03-28 |
1679031611 | Jesus H. Lao Md Inc | Physical Medicine & Rehabilitation | 6699 Alvarado Rd Ste 2304, San Diego, CA 92120-5241 | 2019-03-08 |
1316404262 | Advanced Pain Diagnostic & Solutions, Inc. | Physical Medicine & Rehabilitation | 1921 Sycamore Ln, Davis, CA 95616-0844 | 2019-02-27 |
1689157059 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 801 E Chapel St Ste 6, Santa Maria, CA 93454-4607 | 2018-09-12 |
1588147094 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 803 Coffee Rd Ste 11, Modesto, CA 95355-4244 | 2018-09-11 |
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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.