DR. MARVIN JASON YOUNG (NPI# 1235221219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235221219 |
| Entity Type | Individual |
| Full Name | DR. MARVIN JASON YOUNG |
| Credential | MD |
| Practice Address |
1071 S Sun Dr Suite 1003 Lake Mary FL 32746-2405 |
| Practice Telephone | 4073022620 |
| Practice Fax Number | 4073022690 |
| Mailing Telephone | 4073022620 |
| Mailing Fax Number | 4073022690 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2015-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME80601 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000105000 | 05 | |
| FL | DEA REGISTRATION # | BY6850867 | 01 |
| FL | GROUP # 000354800 | 05 | |
| FL | STATE LICENSE # | ME80601 | 01 |
| FL | RR MEDICARE | PTAN# DO3210 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134593585 | Marvin Young Jr. | Peer Specialist | 10580 Se Washington St, Portland, OR 97216-2809 | 2015-11-23 |
| Street Address |
1071 S SUN DR SUITE 1003 |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32746-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861872731 | Lisa Anne Cara | Nurse Practitioner | 1071 S Sun Dr, Suite 1043, Lake Mary, FL 32746-2405 | 2015-06-04 |
| 1891198123 | Christy Waldron | Nurse Practitioner | 1071 S Sun Dr, Suite 1043, Lake Mary, FL 32746-2405 | 2014-10-01 |
| 1952534547 | Larissa Antonia Guerrero | Obstetrics & Gynecology | 1071 S Sun Dr, Suite 1043, Lake Mary, FL 32746-2405 | 2009-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
| 1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
| 1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
| Find all providers in zip 32746 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063643039 | Khaled Shahrour | Urology | 1071 S Sun Dr Ste 1003, Lake Mary, FL 32746-2573 | 2009-08-07 |
| 1831164235 | Michael D Friedman | Urology | 4106 W Lake Mary Blvd Ste 215, Lake Mary, FL 32746-3344 | 2006-02-20 |
| 1902896194 | Ravi R Jahagiardar | Urology | 101 N 8th St, Lake Mary, FL 32746-3101 | 2005-10-27 |
| 1093085094 | Orlando Physician Specialists LLC | Urology | 210 Rinehart Rd, Suite 1000, Lake Mary, FL 32746-2541 | 2012-01-06 |
| 1003185927 | Orlando Physician Specialists LLC | Urology | 101 N 8th St, Lake Mary, FL 32746-3101 | 2011-12-21 |
| 1639284565 | Associates In Urology of Central Florida Pa | Urology | 101 N 8th St, Suite 1001, Lake Mary, FL 32746-3101 | 2006-08-20 |
| 1376518431 | Charles N Witten | Urology | 4106 W Lake Mary Blvd Ste 215, Lake Mary, FL 32746-3344 | 2006-02-22 |
| 1427023829 | Central Florida Urology Associates | Urology | 4106 W Lake Mary Blvd Ste 215, Lake Mary, FL 32746-3344 | 2006-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770193450 | Urotelemedicine LLC | Urology | 8669 Nw 36th St Ste 325, Doral, FL 33166-6698 | 2020-08-06 |
| 1700411618 | Ackerman Cancer Center, Pa | Urology | 159 North 3rd St, Macclenny, FL 32063-2103 | 2020-03-11 |
| 1043844483 | Jesse Aaron Ory | Urology | 5555 Ponce De Leon Blvd Fl 4, Coral Gables, FL 33146-2513 | 2020-02-25 |
| 1215591565 | Advent Health | Urology | 420 Celebration Ave, Celebration, FL 34747-4683 | 2019-04-23 |
| 1710442264 | Urologic Specialists of Central Florida Pllc | Urology | 575 S Wickham Rd Ste A, West Melbourne, FL 32904-1170 | 2019-02-08 |
| 1578028197 | Prody Urology, Pllc | Urology | 575 S Wickham Rd Ste B, West Melbourne, FL 32904-1170 | 2019-02-07 |
| 1366916843 | Dr. Carolyn Langford Urologic Solutions, LLC | Urology | 9400 Gladiolus Dr Ste 30, Fort Myers, FL 33908-9615 | 2019-01-17 |
| 1376016568 | Advanced Innovative Urology Pa | Urology | 4737 N Ocean Dr Ste 103, Lauderdale By The Sea, FL 33308-2920 | 2019-01-10 |
| 1306314281 | Urology Consultants of Boca Raton Pa | Urology | 825 Meadows Rd Ste 111, Boca Raton, FL 33486-2347 | 2018-11-08 |
| 1013490309 | Seetharam Bhat Kulthe Ramesh | Urology | 401 Celebration Pl Ste 200, Celebration, FL 34747-4971 | 2018-09-12 |
| Find all providers with the same taxonomy | ||||
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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.