DONELLA S. YOUNG


Address: 100 3rd St, Suite 1, Davenport, WA 99122-9730
Phone: 5097257501

DONELLA S. YOUNG (NPI# 1073554119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073554119
Entity Type Individual
Full Name DONELLA S. YOUNG
Credential MD
Practice Address 100 3rd St
Suite 1
Davenport
WA 99122-9730
Practice Telephone 5097257501
Practice Fax Number 5097257504
Mailing Telephone 5097257501
Mailing Fax Number 5097257504
Enumeration Date 2006-06-09
Last Update Date 2010-06-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine MD00026777 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA MEDICARE RAILROAD CJ6525 01
WA 8154353 05
WA DEPT. OF L & I 154736 01
WA 7117450 05
DEA AG1221011 01
WA 7101132 05
WA MEDICARE RAILROAD 080187185 01

Office Location

Street Address 100 3RD ST
SUITE 1
City DAVENPORT
State WA
Zip Code 99122-9730

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497205439 Lincoln County Hospital District #3 / North Basin Medical Clinics Health Maintenance Organization 100 3rd St, Davenport, WA 99122-5008 2016-10-13
1356795959 Leah Olvera Massage Therapist 100 3rd St, Davenport, WA 99122-5008 2016-04-20
1124331996 Providence Health & Services Internal Medicine 100 3rd St, Davenport, WA 99122-5008 2010-07-21
1891940789 Knute J Hernas Dds Ps Clinic/Center 100 3rd St, Suite 3, Davenport, WA 99122-5008 2008-11-19
1720126477 Knute Jonathan Hernas Dentist 100 3rd St, Suite 3, Davenport, WA 99122-9730 2007-02-02
1639113830 Lincoln County Hospital District 3 Family Medicine 100 3rd St, Suite 1, Davenport, WA 99122-9730 2006-06-16
1972547610 Lincoln County Hospital District 3 Family Medicine 100 3rd St, Suite 1, Davenport, WA 99122-9730 2006-06-15
1821031410 Cynthia D. Mccall Registered Nurse 100 3rd St, Suite 4, Davenport, WA 99122-9730 2006-06-13
1558309518 Lincoln County Hospital District 3 Family Medicine 100 3rd St, Suite 1, Davenport, WA 99122-9730 2006-06-03
1053358465 Deanna D. Davidson Surgery 100 3rd St, Suite 4, Davenport, WA 99122-9730 2006-06-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003387697 Creekside Pharmacy LLC Pharmacy 639 Morgan Street, Davenport, WA 99122 2018-12-08
1366959470 Kandis Rose Paskell Counselor 547 Morgan Street, Davenport, WA 99122 2018-01-10
1538567839 Alyssa Fleming Speech-Language Pathologist 28000 Prairie Springs Drive, Davenport, WA 99122 2014-12-18
1477742500 Daniel W Pitman Counselor 1102 8th Street, Davenport, WA 99122 2007-10-15
1730201856 Capstone Behavioral Health Counselor 49 Park Street, Davenport, WA 99122 2007-04-06
1972625762 David Lee Turner Dentist 707 Logan St, Davenport, WA 99122 2007-04-04
1982723318 Dawn Lorraine Wilcox Counselor 49 Park, Unit C, Davenport, WA 99122 2007-03-28
1184789703 Michael G Van Pevenage Physical Therapist 506 Morgan Street, Davenport, WA 99122 2006-12-26
1447323811 Davenport Vision Clinic, Inc. Optometrist 506 8th St, Davenport, WA 99122 2006-11-15
1912002791 Davenport Pharmacy Inc Pharmacy 525 Morgan St, Davenport, WA 99122 2006-09-14
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689287831 Cynthia Marie Silva Family Medicine 142 Harrington Ct, Davenport, FL 33837-8986 2020-08-27
1467013565 Vibrant Health, P.C. Family Medicine 1351 W Central Park Ave Ste 1225, Davenport, IA 52804-1889 2019-06-28
1831667062 Jacqueline Bogle Family Medicine 1334 Oakcrest Ct, Davenport, FL 33837-1707 2018-11-06
1427589944 Aubrey Riefe Family Medicine 4317 E 53rd St, Davenport, IA 52807-3860 2017-03-26
1760748644 Marygold Lora Fernandez Family Medicine 2302 North Blvd W Ste D, Davenport, FL 33837-8920 2012-04-05
1184917981 Linda Malizia Jager Family Medicine 1750 E 53rd St, Davenport, IA 52807-2707 2011-05-26
1881908069 Andrew Michael Teffeau Family Medicine 410 Lionel Way Fl 3, Davenport, FL 33837-7809 2010-07-30
1740509280 Jose Ascension Armendariz Family Medicine 4700 E 56th St Ste 300, Davenport, IA 52807-2904 2010-05-24
1336473198 Simran Jit Family Medicine 3411 Spring St, Davenport, IA 52807-2114 2009-09-28
1184870016 Maria Nina Concepcion Md Pa Family Medicine 2302 North Blvd., Suite D, Davenport, FL 33837 2008-08-12
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Competitor

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City DAVENPORT
Zip Code 99122

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Dataset Information

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.

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