MARTIN KENNETH YOUNG (NPI# 1417953381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417953381 |
| Entity Type | Individual |
| Full Name | MARTIN KENNETH YOUNG |
| Credential | MD |
| Practice Address |
2940 Doctors Park Dr Children and Adolescents Clinic Medford OR 97504 |
| Mailing Address |
2900 Doctors Park Dr Medford OR 97504-8127 |
| Practice Telephone | 5417791300 |
| Practice Fax Number | 5417799171 |
| Mailing Telephone | 5417791300 |
| Mailing Fax Number | 5417799171 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2018-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD22188 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 138148 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326087941 | Martin C Young | Pediatrics | 2915 Betin Ave, Monroe, LA 71201-7257 | 2006-06-06 |
| 1407854367 | Martin S Young | Physical Therapist | 241 Ockley Dr, Shreveport, LA 71105-3024 | 2005-07-13 |
| 1245705664 | Martin Young | Community Health Worker | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2018-10-11 |
| 1811131907 | Martin James Young | Counselor | 67 W King St, Shippensburg, PA 17257-1233 | 2009-04-21 |
| 1467663633 | Martin Young | Social Worker | 100 Erdman Way, Leominster, MA 01453-1804 | 2007-05-26 |
| 1205994316 | Martin Steven Young | Nurse Anesthetist, Certified Registered | 941 Spring Creek Rd, Chattanooga, TN 37412-3909 | 2006-12-04 |
| 1982682274 | Martin Young | Psychologist | 55 Lake Ave N, Department of Behavioral Medicine, Worcester, MA 01655-0002 | 2006-01-06 |
| Street Address |
2940 DOCTORS PARK DR CHILDREN AND ADOLESCENTS CLINIC |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558863902 | Rogue Valley Childrens Physicians | Pediatrics | 2940 Doctors Park Dr, Medford, OR 97504-8127 | 2018-03-01 |
| 1881811842 | Rogue Valley Physicians | Clinic/Center | 2940 Doctors Park Dr, Medford, OR 97504-8127 | 2007-04-19 |
| 1932123189 | Sarah M Christensen | Pediatrics | 2940 Doctors Park Dr, Medford, OR 97504 | 2006-07-27 |
| 1689688848 | Christina L Martin | Pediatrics | 2940 Doctors Park Dr, Medford, OR 97504 | 2006-07-27 |
| 1457374589 | Lawrence C Stumpff | Pediatrics | 2940 Doctors Park Dr, Medford, OR 97504-8127 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033742051 | Advocare, LLC | Pediatrics | 135 Jackson Rd Ste B, Medford, NJ 08055-9231 | 2020-02-18 |
| 1538435417 | Stefanie T Ogawa | Pediatrics | 840 Royal Ave Ste 110, Medford, OR 97504-6461 | 2012-03-26 |
| 1629150420 | Michael A Davis | Pediatrics | 840 Royal Ave, Suite 110, Medford, OR 97504-6461 | 2006-10-20 |
| 1154424158 | Laura Balestreri | Pediatrics | 1322 E Mcandrews Rd Ste 202, Medford, OR 97504-6177 | 2006-09-06 |
| 1174630263 | Jennifer Ann Nastasi | Pediatrics | 2799 Route 112 Ste 11, Medford, NY 11763-2535 | 2006-08-24 |
| 1225076722 | Jay Iype | Pediatrics | 2799 Route 112, Suite #11, Medford, NY 11763 | 2006-06-04 |
| 1730144221 | James Alan Frierson | Pediatrics | 1322 E Mcandrews Rd, Ste 202, Medford, OR 97504-6177 | 2006-04-19 |
| 1992765804 | Barbara J Sibley | Pediatrics | 750 Murphy Road, Medford, OR 97504 | 2006-03-24 |
| 1760470207 | Laurel Bell | Pediatrics | 2825 E. Barnett Rd, Medford, OR 97504-8179 | 2005-10-10 |
| 1881687804 | David Andrew Bross | Pediatrics | Mystic Valley Pediatrics, 75 Riverside Avenue, Suite 2, Medford, MA 02155 | 2005-08-24 |
| Find all providers in MEDFORD | ||||
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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.