JOHN H YOUNG (NPI# 1467481705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467481705 |
Entity Type | Individual |
Full Name | JOHN H YOUNG |
Credential | MD |
Practice Address |
117 E Sycamore St Fayetteville AR 72703-2540 |
Mailing Address |
Po Box 3531 Fayetteville AR 72702-3531 |
Practice Telephone | 4795210200 |
Practice Fax Number | 4795214942 |
Mailing Telephone | 4795210200 |
Mailing Fax Number | 4795214942 |
Enumeration Date | 2006-06-30 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | C-3226 | AR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | AR BC/BS | 55912 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073175600 | John F Young | Nurse Practitioner | 301 E Main St # Pst, Bay Shore, NY 11706-8408 | 2019-07-03 |
1396179818 | John William Young Jr. | Psychologist | 20 Administration Road, Bridgewater State Hospital- Forensic Services, Bridgewater, MA 02034 | 2013-09-03 |
1114218963 | John Isaac Young | Surgery | 601 S Floyd St Ste 220, Louisville, KY 40202-1835 | 2011-04-28 |
1407176688 | John Robert Young | Anesthesiology | 1401 S Beretania St Ste 400, Honolulu, HI 96814-1872 | 2010-06-10 |
1629208558 | John Burton Young Jr. | Otolaryngology | 2787 Itasca Ave., St. Mary's Pt., MN 55043-0325 | 2009-07-27 |
1386887297 | John Scott Young | Counselor | 1506 Wenchelsa Rd, Greensboro, NC 27410-3521 | 2009-04-08 |
1790927929 | John Gerald Young | Psychiatry & Neurology | 16 1/2 East 74th St., New York, NY 10021 | 2009-04-02 |
1497936215 | John Clayton Young | Optometrist | 232 Crafton Ingram Shp Ctr, Crafton, PA 15205-2353 | 2007-11-20 |
1871710376 | John R. Young | Dentist | 272 Centre Ave, Rockland, MA 02370-2610 | 2007-04-19 |
1184849960 | John Lafayette Young | Counselor | 3527 Rolling Rd, Suite 23, Windsor Mill, MD 21244-2073 | 2007-04-16 |
Street Address |
117 E SYCAMORE ST |
City | FAYETTEVILLE |
State | AR |
Zip Code | 72703-2540 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356377741 | Linda M Ekman | General Practice | 117 E Sycamore St, Fayetteville, AR 72703-2540 | 2006-06-25 |
1326244260 | Lindsay Loraine Cortez | Nurse Practitioner | 117 E Sycamore St, Fayetteville, AR 72703-2540 | 2007-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
Find all providers in zip 72703 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700297033 | Washington Regional Medical System | General Practice | 3 E. Appleby Road, Suite 101, Fayetteville, AR 72703 | 2014-05-08 |
1053754622 | Hessel Kooistra IIi | General Practice | 10971 Rocky Creek Rd, Fayetteville, AR 72701-0614 | 2013-04-12 |
1861636607 | John James Sacco | General Practice | 5018 Worthington Way, Fayetteville, NY 13066-8703 | 2009-04-23 |
1093877441 | Michael R Ressal | General Practice | 3415 C1 Melrose Road, Fayetteville, NC 28304-1608 | 2006-12-14 |
1184727711 | Donald Eric Milmore | General Practice | 120 Walnut Street, Fayetteville, NY 13066-2028 | 2006-09-07 |
1710993654 | Scott David Fedosky | General Practice | 2603 Main Dr, Suite # 6, Fayetteville, AR 72704-5278 | 2006-07-31 |
1356377741 | Linda M Ekman | General Practice | 117 E Sycamore St, Fayetteville, AR 72703-2540 | 2006-06-25 |
1902832660 | Janet Lynn Titus | General Practice | 63 W Sunbridge Dr, Fayetteville, AR 72703-1825 | 2006-06-24 |
1720020712 | Diane Elizabeth Ashby | General Practice | 207 W Maple Ave, Fayetteville, WV 25840-1413 | 2006-06-12 |
1427008093 | Medical Associates of Northwest Arkansas Pa | General Practice | 1188 N Salem Rd Ste 6, Fayetteville, AR 72704-8803 | 2006-05-12 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 72703 |
Please comment or provide details below to improve the information on JOHN H 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.