MR. JOHN WALLACE YOUNG JR. (NPI# 1215965272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215965272 |
| Entity Type | Individual |
| Full Name | MR. JOHN WALLACE YOUNG JR. |
| Credential | PA |
| Practice Address |
1103 Woodson Dr Caldwell TX 77836-1052 |
| Mailing Address |
Po Box 714 3320 Cr 377 Caldwell TX 77836-0714 |
| Practice Telephone | 9795677080 |
| Practice Fax Number | 9795679783 |
| Mailing Telephone | 9795670185 |
| Mailing Fax Number | 9795679783 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA00326 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073175600 | John F Young | Nurse Practitioner | 301 E Main St # Pst, Bay Shore, NY 11706-8408 | 2019-07-03 |
| 1396179818 | John William Young Jr. | Psychologist | 20 Administration Road, Bridgewater State Hospital- Forensic Services, Bridgewater, MA 02034 | 2013-09-03 |
| 1114218963 | John Isaac Young | Surgery | 601 S Floyd St Ste 220, Louisville, KY 40202-1835 | 2011-04-28 |
| 1407176688 | John Robert Young | Anesthesiology | 1401 S Beretania St Ste 400, Honolulu, HI 96814-1872 | 2010-06-10 |
| 1629208558 | John Burton Young Jr. | Otolaryngology | 2787 Itasca Ave., St. Mary's Pt., MN 55043-0325 | 2009-07-27 |
| 1386887297 | John Scott Young | Counselor | 1506 Wenchelsa Rd, Greensboro, NC 27410-3521 | 2009-04-08 |
| 1790927929 | John Gerald Young | Psychiatry & Neurology | 16 1/2 East 74th St., New York, NY 10021 | 2009-04-02 |
| 1497936215 | John Clayton Young | Optometrist | 232 Crafton Ingram Shp Ctr, Crafton, PA 15205-2353 | 2007-11-20 |
| 1871710376 | John R. Young | Dentist | 272 Centre Ave, Rockland, MA 02370-2610 | 2007-04-19 |
| 1184849960 | John Lafayette Young | Counselor | 3527 Rolling Rd, Suite 23, Windsor Mill, MD 21244-2073 | 2007-04-16 |
| Street Address |
1103 WOODSON DR |
| City | CALDWELL |
| State | TX |
| Zip Code | 77836-1052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922058502 | Kia E Parsi | Family Medicine | 1103 Woodson Dr, Caldwell, TX 77836-1052 | 2006-05-12 |
| 1376920041 | Tawnya Anderson | Nurse Practitioner | 1103 Woodson Dr, Caldwell, TX 77836-1052 | 2015-05-01 |
| 1083990337 | Alyson Patrice Rockhold | Physician Assistant | 1103 Woodson Dr, Caldwell, TX 77836-1052 | 2011-11-01 |
| 1609150465 | Brazos Valley Community Action Agency, Inc. | Clinic/Center | 1103 Woodson Dr, Caldwell, TX 77836-1052 | 2011-09-28 |
| 1437443751 | Kyle Winkler | Family Medicine | 1103 Woodson Dr, Caldwell, TX 77836 | 2011-06-03 |
| 1689803496 | Loy Elizabeth Watson | Registered Nurse | 1103 Woodson Dr, Caldwell, TX 77836-1052 | 2009-07-14 |
| 1316069982 | Kristel Dawn Leubner | Family Medicine | 1103 Woodson Dr, Caldwell, TX 77836-1052 | 2007-04-04 |
| 1902945421 | J Scott Chennault, D.o. | Family Medicine | 1103 Woodson Dr, Caldwell, TX 77836-1052 | 2007-02-05 |
| 1932276235 | St. Joseph Regional Health Center | Clinic/Center | 1103 Woodson Dr, Caldwell, TX 77836-1052 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750529913 | Caldwell I Enterprises, LLC | Assisted Living Facility | 343 Country Club Dr, Caldwell, TX 77836 | 2009-01-27 |
| 1285784397 | Elza Leroy Kutch | Optometrist | 3431 County Rd 330, Caldwell, TX 77836 | 2007-01-11 |
| 1609947654 | Johanna A Elliott | Chiropractor | 101 Hwy 21 E, Caldwell, TX 77836 | 2006-11-13 |
| 1194825547 | Brookshire Brothers Inc | Pharmacy | 455 Hwy 36 N, Caldwell, TX 77836 | 2006-09-25 |
| 1225066541 | Joseph Bennett Jones | Emergency Medicine | 11410 County Road 311, Caldwell, TX 77836 | 2006-06-28 |
| 1093175184 | Waqas Tufail Od Pa | Optometrist | 2901 Riley Fuzzell Road, Spring, TX 77836 | 2016-03-02 |
| 1548687171 | Burleson County Hospital District | Skilled Nursing Facility | 1022 Presidential Corridor East, Caldwell, TX 77836 | 2014-03-20 |
| 1467631598 | Del B. Stigler M.d. | Family Medicine | 302 Highway 21 West, Caldwell, TX 77836-0000 | 2007-10-25 |
| 1548891336 | Courtney Jane Chmelar | Student in an Organized Health Care Education/Training Program | 1004 Woodson Dr, Caldwell, TX 77836-1000 | 2020-01-30 |
| 1538596705 | Burleson County Family Medicine Pllc | Clinic/Center | 1012 Woodson Dr, Caldwell, TX 77836-1000 | 2013-10-03 |
| Find all providers in zip 77836 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1417376229 | Anthony Frederick Bushnell | Physician Assistant | 315 East Elm, Ste 100, Caldwell, ID 83605 | 2014-04-09 |
| 1124056189 | Kimberly Allison Glidewell | Physician Assistant | 912 Lorey Ln, Caldwell, TX 77836-1359 | 2006-06-29 |
| 1194761536 | Janet E Mitchell | Physician Assistant | 4521 Thomas Jefferson St, Caldwell, ID 83605-5100 | 2006-06-22 |
| 1811987076 | Erin L Proctor | Physician Assistant | 315 E. Elm Ste. 100, Caldwell, ID 83605-4858 | 2005-10-27 |
| 1417581869 | Anne Crowl | Physician Assistant | 2523 S 10th Ave Ste 103, Caldwell, ID 83605-6760 | 2020-02-25 |
| 1710537964 | Donald E Sanford Jr. | Physician Assistant | 4815 Cleveland Blvd, Caldwell, ID 83605-6501 | 2019-09-18 |
| 1275007965 | Ronnie Bryon Isaacson | Physician Assistant | 2609 S 10th Ave, Caldwell, ID 83605-6816 | 2019-01-15 |
| 1093281016 | Nicholas Anderson | Physician Assistant | 315 E Elm, Ste 100, Caldwell, ID 83605 | 2018-10-17 |
| 1174038798 | Andrew Don Mcmurray | Physician Assistant | 4815 Cleveland Blvd, Caldwell, ID 83605-6501 | 2017-12-05 |
| Find all providers in CALDWELL | ||||
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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.