DR. JOSEPH THEODORE YOUNG (NPI# 1437135217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437135217 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH THEODORE YOUNG |
| Credential | M.D. |
| Practice Address |
1015 Bowles Ave Fenton MO 63026 |
| Mailing Address |
Po Box 4297 Boulder CO 80306-4297 |
| Practice Telephone | 6364962000 |
| Practice Fax Number | 3149961681 |
| Mailing Telephone | 3035181931 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2019-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 2008028220 | MO | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | C50185 | CA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | F3008 | TX | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 23542 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01235423 | 05 | |
| MO | RR MEDICARE INDIVIDUAL PTAN NUMBER | P00691434 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4500 Baseline Rd Apt 2404, Boulder, CO 803038220 | 3035181931 | |
| 100 Medical Plz, Lake St Louis, MO 633671366 | 6366255200 | 6366255314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700159712 | Joseph S.t. Young | Pediatrics | 2133 Mott Smith Dr, Honolulu, HI 96822 | 2012-02-22 |
| 1659673226 | Joseph Michael Young | Internal Medicine | 10 Azalea Street, Hilton Head, SC 29928-5517 | 2010-12-02 |
| 1598856700 | Joseph Allen Young | Chiropractor | 1718 Richmond Rd, Texarkana, TX 75503-2415 | 2006-09-27 |
| 1740214279 | Joseph James Young | Ophthalmology | 4214 Sw Lee Blvd, Lawton, OK 73505-8340 | 2006-07-10 |
| 1730147489 | Joseph M Young | Allergy & Immunology | 5525 Assembly Ct Ste A, Sacramento, CA 95823-2634 | 2006-05-03 |
| 1285616680 | Joseph Nilas Young Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2315 Stockton Boulevard, Sacramento, CA 95817 | 2005-11-19 |
| 1639737802 | Joseph Young | Counselor | 519 Court St, Portsmouth, OH 45662-3933 | 2019-06-03 |
| 1558832196 | Joseph Young | Behavior Technician | 5445 W Sweet Dr, Visalia, CA 93291-9280 | 2018-12-07 |
| 1356854616 | Joseph Michael Young | Physical Therapist | 32 Indian Rock Rd Unit 5, Windham, NH 03087-1697 | 2017-11-08 |
| 1265964316 | Joseph Alexander Young | Orthotist | 12777 N Rockwell Ave, Oklahoma City, OK 73142-2710 | 2017-03-29 |
| Street Address |
1015 BOWLES AVE |
| City | FENTON |
| State | MO |
| Zip Code | 63026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982687059 | Robert Brunton Smith | Emergency Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2005-11-22 |
| 1235756149 | Megan Poucher | Student in an Organized Health Care Education/Training Program | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2020-06-26 |
| 1598389306 | Andrew Richardson | Nurse Anesthetist, Certified Registered | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2020-06-08 |
| 1538714688 | Galen Inpatient Physicians Inc. | Internal Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2019-08-06 |
| 1093360414 | Cep America LLC | Emergency Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2019-08-02 |
| 1427525468 | Paige Cathleen Hagen | Pharmacist | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2018-10-29 |
| 1700303765 | Anne M Reeb | Dietitian, Registered | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2017-08-29 |
| 1851828297 | Erin Fagan | Occupational Therapist | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2017-05-16 |
| 1437681418 | Matthew Schwab | Emergency Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2017-03-30 |
| 1144678285 | Wilka Yaneth Vincent | Dietitian, Registered | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2016-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
| 1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1245642420 | Physicians Health Group Medical Inc | General Practice | 960 S. Highway Dr, Fenton, MO 63026 | 2014-05-22 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1790954410 | Castlewood Treatment Center LLC | Community/Behavioral Health | 1855 Bowles Ave, Suite 210, Fenton, MO 63026 | 2008-02-27 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
| Find all providers in zip 63026 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326085457 | James R Taylor | Emergency Medicine | 1015 Bowles Ave., Fenton, MO 63026 | 2006-05-31 |
| 1982687059 | Robert Brunton Smith | Emergency Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2005-11-22 |
| 1093360414 | Cep America LLC | Emergency Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2019-08-02 |
| 1437681418 | Matthew Schwab | Emergency Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2017-03-30 |
| 1558502989 | Midwest Emergency Associates-fenton, LLC | Emergency Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2009-03-16 |
| 1164614798 | Mclaren Medical Group | Emergency Medicine | 2420 Owen Rd, Fenton, MI 48430-3417 | 2007-08-17 |
| 1376746800 | Stephen Slowik | Emergency Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2007-06-11 |
| 1275643553 | Patricia A. Williams | Emergency Medicine | 1203 Smizer Mill Rd, Suite 100, Fenton, MO 63026-3483 | 2006-08-30 |
| 1730108101 | Tuere A Franklin | Emergency Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2006-07-18 |
| 1073538302 | Jeffrey J Hallazgo | Emergency Medicine | 714 Gravois Rd, Suite 100, Fenton, MO 63026-7723 | 2006-07-13 |
| Find all providers in FENTON | ||||
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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.