TODD E YOUNG (NPI# 1568425064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568425064 |
| Entity Type | Individual |
| Full Name | TODD E YOUNG |
| Credential | DO |
| Practice Address |
1001 12th Ave Ste 140 Fort Worth TX 76104-3926 |
| Practice Telephone | 8178719069 |
| Practice Fax Number | 8178719067 |
| Mailing Telephone | 8178719069 |
| Mailing Fax Number | 8178719067 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2013-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | K2389 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 145824202 | 05 | |
| TX | 145824201 | 05 | |
| TX | 145824203 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386866275 | Todd Alvin Young | Dentist | 444 West Miner St, Yreka, CA 96097-2839 | 2007-05-02 |
| 1275672206 | Todd Benjamin Young | Psychiatry & Neurology | 169 Saxony Rd Ste 205, Encinitas, CA 92024-6780 | 2007-02-06 |
| 1871727420 | Todd Eric Young | Pharmacist | 387 N Main St, Watervliet, MI 49098-9795 | 2009-05-12 |
| 1841299377 | Todd M Young | Dentist | 14210 Se Sunnyside Rd, Clackamas, OR 97015-5241 | 2005-07-18 |
| Street Address |
1001 12TH AVE STE 140 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811950397 | David R Rittenhouse | Urology | 1001 12th Ave Ste 140, Fort Worth, TX 76104-3926 | 2006-04-07 |
| 1760792857 | Keith F Desonier Jr. | Physician Assistant | 1001 12th Ave Ste 140, Fort Worth, TX 76104-3926 | 2010-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023401510 | Robert A Bloom Md Pllc | Urology | 416 S. Henderson St., Fort Worth, TX 76104 | 2015-03-09 |
| 1538422779 | George C Bailey | Urology | 4312 Heritage Trace Pkwy Ste 700, Fort Worth, TX 76244 | 2012-06-22 |
| 1093998429 | Dallas/fort Worth Urology Consultants | Urology | 4809 Brentwood Stair Road, Fort Worth, TX 76103 | 2007-12-07 |
| 1982749164 | John W Johnson IIi | Urology | 6100 Harris Pkwy Ste 225, Fort Worth, TX 76132-4126 | 2007-02-21 |
| 1033262605 | Rajendra Singh Chouhan | Urology | 1115 Pennsylvania Ave, Suite A, Fort Worth, TX 76104-2153 | 2007-01-18 |
| 1164506226 | Charles Bamberger | Urology | 416 South Henderson, Fort Worth, TX 76104-1017 | 2006-10-25 |
| 1114968625 | David Lawrence Gould | Urology | 900 Jerome St Ste 304, Fort Worth, TX 76104-3941 | 2006-06-08 |
| 1275596538 | Michael G Waters | Urology | 2900 Acme Brick Plz, Fort Worth, TX 76109-4123 | 2006-04-08 |
| 1801859376 | Robert George Stroud | Urology | 1101 University Dr, Fort Worth, TX 76107-3012 | 2006-04-07 |
| 1811950397 | David R Rittenhouse | Urology | 1001 12th Ave Ste 140, Fort Worth, TX 76104-3926 | 2006-04-07 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on TODD E 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.