DR. ROGER CHARLES YOUNG (NPI# 1114036027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114036027 |
Entity Type | Individual |
Full Name | DR. ROGER CHARLES YOUNG |
Credential | MD |
Practice Address |
853 Jefferson Ave E160 Memphis TN 38103-2807 |
Mailing Address |
262 Meadowgrove Ln Memphis TN 38120-2611 |
Practice Telephone | 9014481509 |
Mailing Telephone | 8026584959 |
Enumeration Date | 2006-08-30 |
Last Update Date | 2014-06-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207V00000X | Obstetrics & Gynecology | 0420011205 | VT | Allopathic & Osteopathic Physicians |
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
49929 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 1532794 | 05 | |
MS | 9202025 | 05 | |
AR | 198892001 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518167881 | Roger Lee Young | Counselor | 4105 Sunnyside Cres, Madison, WI 53704-3536 | 2007-07-24 |
1952480683 | Roger Young | Hospitalist | 3325 Grosbeak Ct, Davis, CA 95616-7511 | 2006-11-03 |
1366554461 | Roger F Young | Optometrist | 3465 Pioneer Pkwy Ste 5, West Valley City, UT 84120-2079 | 2006-08-31 |
1013998434 | Roger M Young | Dentist | 26741 Main St, 26741 Main St, Ardmore, TN 38449-3120 | 2005-11-11 |
1689665630 | Roger Wayne Young | Optometrist | 8700 Central Mall Drive, Port Arthur, TX 77642-8058 | 2005-10-31 |
1235127358 | Roger B. Young II | General Practice | 2020 South I-35 Service Rd., Moore, OK 73160 | 2005-10-12 |
1952399511 | Roger Young | Nurse Practitioner | 1250 W Whittaker St, Salem, IL 62881-1917 | 2005-10-07 |
1396744124 | Roger Allen Young | Optometrist | 2004 Bayshore Rd, Villas, NJ 08251-1815 | 2005-07-14 |
1518192731 | Roger Oliver Young | Massage Therapist | 500 W. Sterthaus Rd, Ormond Beach, FL 32174 | 2009-05-18 |
1750448601 | Roger Young | Social Worker | 1808 Route 6, Carmel, NY 10512-2356 | 2007-01-02 |
Street Address |
853 JEFFERSON AVE E160 |
City | MEMPHIS |
State | TN |
Zip Code | 38103-2807 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437626579 | Rosemary Mccraney | Social Worker | 853 Jefferson Ave, Memphis, TN 38103-2807 | 2018-10-26 |
1073049474 | Lea Elizabeth Stokes | Student in an Organized Health Care Education/Training Program | 853 Jefferson Ave, Rm E102, Memphis, TN 38163 | 2017-05-04 |
1437402849 | Tamara M. Pellegrin | Nurse Practitioner | 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807 | 2012-10-23 |
1174872295 | Ut Medical Group | General Acute Care Hospital | 853 Jefferson Ave, Room 201, Memphis, TN 38103-2807 | 2012-09-05 |
1710203674 | Uthsc, Memphis, Tn | General Acute Care Hospital | 853 Jefferson Ave, Suite E105d2, Memphis, TN 38103-2807 | 2010-04-15 |
1477793362 | Mark Fellows Weems | Pediatrics | 853 Jefferson Ave, Rout Bldg E201, Memphis, TN 38103-2807 | 2009-03-04 |
1942475728 | Danielle Latrice Tate | Obstetrics & Gynecology | 853 Jefferson Ave, Suite E102, Memphis, TN 38103-2807 | 2008-04-23 |
1407078710 | Autumn Joi Goodwin-samson | Pediatrics | 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807 | 2007-05-03 |
1881769099 | Bobby Burrell Bellflower | Nurse Practitioner | 853 Jefferson Ave, Memphis, TN 38103-2807 | 2006-11-22 |
1336236116 | Janice M Shier | Obstetrics & Gynecology | 853 Jefferson Ave, Rout 102, Memphis, TN 38103-2807 | 2006-10-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
Find all providers in zip 38103 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962056036 | Modern Gynecology and Reproductive Health PC | Obstetrics & Gynecology | 1407 Union Ave Ste 1401, Memphis, TN 38104-3667 | 2019-07-27 |
1457557365 | Barbara A. Duncan-cody Md Pllc | Obstetrics & Gynecology | 1174 Poplar Avenue, Memphis, TN 38105-4805 | 2007-06-26 |
1093866733 | Barbara Ann Duncan-cody | Obstetrics & Gynecology | 1174 Poplar Ave, Memphis, TN 38105-4805 | 2007-01-16 |
1588299325 | Southwind Gynecology & Wellness Center Pllc | Obstetrics & Gynecology | 3315 Hacks Cross Rd Ste 109, Memphis, TN 38125-8935 | 2020-03-11 |
1255602587 | Spg II LLC | Obstetrics & Gynecology | 1264 Wesley Dr, Suite 302, Memphis, TN 38116-6400 | 2012-01-18 |
1548200421 | Robert Paul Kline | Obstetrics & Gynecology | 6005 Park Ave, Ste 508, Memphis, TN 38119 | 2006-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598206336 | Stephen Merrick Mintz | Obstetrics & Gynecology | 3124 Natoma Cir, Thompsons Station, TN 37179-9605 | 2017-03-13 |
1487190914 | Hormones 4 Life LLC | Obstetrics & Gynecology | 3172 Waterfront Dr, Chattanooga, TN 37419-1541 | 2017-01-08 |
1972928604 | Eugene Rudd | Obstetrics & Gynecology | 125 Ashewood Dr, Bristol, TN 37620-5939 | 2014-03-05 |
1164793105 | James Thurman | Obstetrics & Gynecology | 5160 Mouse Creek Rd Nw, Cleveland, TN 37312-3228 | 2012-01-23 |
1881964815 | David Anthony Rueff | Obstetrics & Gynecology | 7621 Carpenter Rd, Knoxville, TN 37931-1122 | 2012-01-06 |
1164724878 | Norman Arnold Mckinnon Jr. | Obstetrics & Gynecology | 911 Scarlett Oaks Rd, Maryville, TN 37801-7403 | 2010-12-01 |
1477866820 | New South Medical Enterprises | Obstetrics & Gynecology | 2503 Highway 41a Byp, Clarksville, TN 37043-3902 | 2010-07-14 |
1609195965 | Fields Center for Womans Health & Robotic Surgery Pllc | Obstetrics & Gynecology | 10810 Parkside Dr Ste 306, Knoxville, TN 37934 | 2010-05-26 |
1396987491 | Kalyani Medicherla Kumar | Obstetrics & Gynecology | 411 Sewell Dr, Sparta, TN 38583-1223 | 2009-04-03 |
1962686311 | Harry L Stuber Md PC | Obstetrics & Gynecology | 503 N Cedar Ave, Cookeville, TN 38501-1707 | 2007-12-20 |
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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.