ANDREA J YOUNG (NPI# 1437174489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437174489 |
| Entity Type | Individual |
| Full Name | ANDREA J YOUNG |
| Credential | MD |
| Practice Address |
10000 Se Main St Ste 224 Portland OR 97216-2469 |
| Practice Telephone | 5032616961 |
| Practice Fax Number | 5032616959 |
| Mailing Telephone | 5032616961 |
| Mailing Fax Number | 5032616959 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2019-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD189771 | OR | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | MD00045467 | WA | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
MD00045467 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1010353 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1615 Delaware St, Longview, WA 986322367 | 3604145750 | 3604145763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265076822 | Andrea Robyn Young | Registered Nurse | 210 Woodhampton Dr, White Plains, NY 10603-1913 | 2019-11-06 |
| 1699188078 | Andrea J. Young | Nurse Practitioner | 16260 Murcott Blvd, Loxahatchee, FL 33470-1747 | 2014-06-03 |
| 1699092114 | Andrea Lea Young | Counselor | 401 Uptown Sq, Suite B, Murfreesboro, TN 37129-0575 | 2010-04-23 |
| 1730329020 | Andrea Erin Young | Technician/Technologist | 1500 S County Road 1, Tiffin, OH 44883-9746 | 2009-02-25 |
| 1619979820 | Andrea Young | Internal Medicine | 850 Boylston St, Chestnut Hill, MA 02467-2477 | 2005-06-01 |
| 1972150704 | Andrea Nichole Young | Case Manager/Care Coordinator | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2019-08-26 |
| 1558872358 | Andrea Denise Young | Nurse Practitioner | 2600 Victory Pkwy, Cincinnati, OH 45206-1711 | 2017-10-19 |
| 1770033029 | Andrea Celeste Young | Behavioral Analyst | 14333 Philippine St, Houston, TX 77040-6913 | 2016-10-11 |
| 1407234016 | Andrea Young | Psychologist | 716 N Broadway, Baltimore, MD 21205-1806 | 2015-05-14 |
| 1710376124 | Andrea Gael Young | Dietitian, Registered | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2015-01-22 |
| Street Address |
10000 SE MAIN ST STE 224 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216-2469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639688708 | Wesley Wenzel | Physician Assistant | 10000 Se Main St Ste 224, Portland, OR 97216-2469 | 2017-09-21 |
| 1578982567 | Elizabeth Gray Lieberman | Orthopaedic Surgery | 10000 Se Main St Ste 224, Portland, OR 97216-2469 | 2014-04-07 |
| 1558797365 | Joseph Province | Physician Assistant | 10000 Se Main St Ste 224, Portland, OR 97216-2469 | 2013-09-25 |
| 1003121849 | Cory Vernon Carlston | Orthopaedic Surgery | 10000 Se Main St Ste 224, Portland, OR 97216-2469 | 2010-08-17 |
| 1558533273 | Adam Parks Baker | Orthopaedic Surgery | 10000 Se Main St Ste 224, Portland, OR 97216-2469 | 2008-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598252272 | Venel Orthopaedic Institute At Lake Andrew | Orthopaedic Surgery | 10000 Se Main St Ste 205, Portland, OR 97216-2448 | 2018-04-18 |
| 1710382296 | Michael Baskin Md LLC | Orthopaedic Surgery | 4166 Sw Greenleaf Dr, Portland, OR 97221-3225 | 2014-10-27 |
| 1801132667 | Robert Andrew Berselli | Orthopaedic Surgery | 02113 Sw Military Rd, Portland, OR 97219-8428 | 2012-12-26 |
| 1134482284 | Andrew J Bryan | Orthopaedic Surgery | 1515 Nw 18th Ave Ste 300, Portland, OR 97209-2539 | 2012-06-22 |
| 1114297553 | Marc El Najjar | Orthopaedic Surgery | 1220 Sw 66th Ave # Appt2213, Portland, OR 97225-6022 | 2012-01-02 |
| 1245556984 | Penelope D Lang | Orthopaedic Surgery | 3500 N Interstate Ave, Kaiser Permanente, Interstate Medical Office South Orthopaedics, Portland, OR 97227-1196 | 2010-04-19 |
| 1154646453 | Ivanhoe B. Higgins, M.d., P.C. | Orthopaedic Surgery | 5050 Ne Hoyt St Ste 640, Portland, OR 97213-2990 | 2010-03-30 |
| 1811134836 | Robert Graf Mckillop | Orthopaedic Surgery | 21 Ne 7th Ave, Portland, OR 97232-2907 | 2009-01-13 |
| 1790920841 | Joseph Paul Schenck | Orthopaedic Surgery | 9925 Sw Quail Post Road, Portland, OR 97219 | 2008-12-03 |
| 1962680553 | Anthony Woodward | Orthopaedic Surgery | 10737 Sw Lancaster Rd, Portland, OR 97219-6494 | 2008-02-06 |
| Find all providers in PORTLAND | ||||
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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.