MICHAEL YOUNG (NPI# 1073993135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073993135 |
| Entity Type | Individual |
| Full Name | MICHAEL YOUNG |
| Credential | M.D. |
| Practice Address |
201 N Clyde Morris Blvd Suite 200 Daytona Beach FL 32114 |
| Mailing Address |
303 N Clyde Morris Blvd Daytona Beach FL 32114-2709 |
| Practice Telephone | 3862544165 |
| Practice Fax Number | 3862544339 |
| Mailing Telephone | 3862264590 |
| Mailing Fax Number | 3862263371 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2018-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME129981 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 21810 | FL | 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 |
201 N CLYDE MORRIS BLVD SUITE 200 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891791380 | Sharon Noble Goldish | Surgery | 201 N Clyde Morris Blvd, Ste 205, Daytona Beach, FL 32114-2724 | 2005-06-21 |
| 1346866332 | Hedson Ricardo Desir | Family Medicine | 201 N Clyde Morris Blvd, Daytona Beach, FL 32114-2724 | 2020-06-25 |
| 1215596143 | Rik Jozef Spelmans | Physical Therapist | 201 N Clyde Morris Blvd, Daytona Beach, FL 32114-2724 | 2019-06-13 |
| 1891220489 | Kirstin Labell | Family Medicine | 201 N Clyde Morris Blvd, Daytona Beach, FL 32114-2724 | 2017-04-20 |
| 1619401635 | Michael Faille | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Daytona Beach, FL 32114-2724 | 2017-04-17 |
| 1104359900 | Kirk Andrew Denning | Occupational Therapist | 201 N Clyde Morris Blvd, Suite 300, Daytona Beach, FL 32114-2724 | 2017-04-07 |
| 1871030080 | Nancy Quist | Social Worker | 201 N Clyde Morris Blvd, Suite 210, Daytona Beach, FL 32114-2724 | 2017-01-25 |
| 1558816405 | Patricia Kurty | Community Health Worker | 201 N Clyde Morris Blvd, Daytona Beach, FL 32114-2724 | 2016-08-22 |
| 1780035956 | Heather Clark | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Daytona Beach, FL 32114-2724 | 2016-06-28 |
| 1689025009 | Suresh Kandavanam | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Daytona Beach, FL 32114-2724 | 2016-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| 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 |
|---|---|---|---|---|
| 1164063178 | Jordann Wood | Family Medicine | 1890 Lpga Blvd Ste 140, Daytona Beach, FL 32117-7131 | 2019-10-01 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| 1245636042 | Dr Ejaz Ahmed Md Pa | Family Medicine | 405 North Clyde Morris Blvd, Daytona Beach, FL 32114-2730 | 2014-11-06 |
| 1063703833 | Brittany O'dwyer Newton | Family Medicine | 201 N Clyde Morris Blvd Ste 210, Daytona Beach, FL 32114-2765 | 2011-04-27 |
| 1548498561 | Ayodeji Ladele | Family Medicine | 1410 Lpga Blvd Ste 136, Daytona Beach, FL 32117-5146 | 2009-06-29 |
| 1417182932 | Phillip Michael Mele Jr. | Family Medicine | 331 Williams Ave, Daytona Beach, FL 32118-3339 | 2009-05-28 |
| 1326280991 | Kevin Anthony Johnson | Family Medicine | 1400 Hancock Blvd, #1208, Daytona Beach, FL 32114 | 2009-03-29 |
| 1265658744 | Jessika Gil-pineda | Family Medicine | 1300 Red John Dr, Daytona Beach, FL 32124-1075 | 2007-04-17 |
| 1548381049 | Andrew Jonathan Niewald | Family Medicine | 305 Memorial Medical Pkwy Ste 502, Daytona Beach, FL 32117-5169 | 2007-04-02 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
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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.