MICHAEL JAMES YOUNG (NPI# 1336195080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336195080 |
| Entity Type | Individual |
| Full Name | MICHAEL JAMES YOUNG |
| Credential | NAVY IDC |
| Practice Address |
5720 Integrity Dr Millington TN 38054-5028 |
| Mailing Address |
5967 Daybreak Dr Bartlett TN 38135-5134 |
| Practice Telephone | 9018743797 |
| Mailing Telephone | 9018743797 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| 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 |
5720 INTEGRITY DR |
| City | MILLINGTON |
| State | TN |
| Zip Code | 38054-5028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821284894 | Tonya Victoria Jones | Military Health Care Provider | 5720 Integrity Dr, Millington, TN 38055-4070 | 2007-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073137758 | Stephanie Nicole Zuckerman | Psychologist | Intrepid Street, Bldg. S-771, Millington, TN 38054 | 2020-05-29 |
| 1992243000 | Paul Livernois | Pharmacist | S-752 Tarawa Ave, Millington, TN 38054 | 2017-02-09 |
| 1962751149 | Megan Nicole Seay Shelton | Dentist | 5722 Integrity Drive Building S-771, Millington, TN 38054 | 2012-09-05 |
| 1710208178 | Michael W Johns | Family Medicine | 5722 Intregrity Dr. Bldg. S771, Branch Medical Clinic Nsa Mid-south, Millington, TN 38054 | 2010-06-18 |
| 1053526996 | Ira N.b. Davis | Optometrist | Nex - Midsouth, Bldg S752, Millington, TN 38054 | 2007-05-14 |
| 1487746236 | Robert Dennis Preston Jr. | Military Health Care Provider | Brach Medical Clinic, Naval Support Activity Mid-south, Millington, TN 38054 | 2006-09-29 |
| 1366486086 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | Nex - Navy Support Activity - Memphis, Bldg. S752, Millington, TN 38054 | 2006-06-15 |
| 1710948245 | James R Luedtke | Technician, Other | 5722 Integrity Drive, Bldg S771, Nbhc, Nsa Mid-south, Millington, TN 38054 | 2006-04-02 |
| 1316915333 | Charles Barry Collier | Military Health Care Provider | Branch Medical Clinic, Nsa Mid South, 5722 Integrity Dr Bldg, Millington, TN 38054 | 2006-03-08 |
| 1154391977 | Jose Calixto De La Pena | Family Medicine | 5722 Intergrity Dr., Blgd S771 (nbhc Midsouth, Millington, TN 38054 | 2006-01-24 |
| Find all providers in zip 38054 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295059491 | William Lee Mark Stone | Military Health Care Provider | 5722 Integrity Dr Bldg S-771, Millington, TN 38054-5028 | 2010-03-17 |
| 1487746236 | Robert Dennis Preston Jr. | Military Health Care Provider | Brach Medical Clinic, Naval Support Activity Mid-south, Millington, TN 38054 | 2006-09-29 |
| 1316915333 | Charles Barry Collier | Military Health Care Provider | Branch Medical Clinic, Nsa Mid South, 5722 Integrity Dr Bldg, Millington, TN 38054 | 2006-03-08 |
| 1730367020 | Alexander Joseph Mabile IIi | Military Health Care Provider | 5722 Integrity Dr, Navmac, Millington, TN 38054-5028 | 2008-02-08 |
| 1821284894 | Tonya Victoria Jones | Military Health Care Provider | 5720 Integrity Dr, Millington, TN 38055-4070 | 2007-09-24 |
| 1316049281 | Benjamin A B Heverly | Military Health Care Provider | 5722 Integrity Dr, Millington, TN 38054-5028 | 2006-09-02 |
| 1356311518 | Michael F Ballard | Military Health Care Provider | 5722 Integrity Dr, Bldg S771, Millington, TN 38054-5028 | 2006-01-23 |
| 1316917586 | Timothy James Francis | Military Health Care Provider | 5722 Integrity Dr, Bldg S771, Millington, TN 38054-5028 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710292172 | Larry L Lacefield | Military Health Care Provider | 5528 Maple Landing Dr, Arlington, TN 38002-7031 | 2010-08-10 |
| 1902000805 | Perry Michael Miller | Military Health Care Provider | 569 Skyline Dr, Jackson, TN 38301-3911 | 2007-06-13 |
| 1063544211 | Jonathan Scott Allen | Military Health Care Provider | 2 Auction Ave, Memphis, TN 38105-1502 | 2007-03-12 |
| 1669458345 | Shawn R. Getola | Military Health Care Provider | 2 Auction Ave, Memphis, TN 38105-1502 | 2005-12-15 |
| City | MILLINGTON |
| Zip Code | 38054 |
Please comment or provide details below to improve the information on MICHAEL JAMES YOUNG.
| 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.