DR. THOMAS RICHARD YOUNG III (NPI# 1609083658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609083658 |
| Entity Type | Individual |
| Full Name | DR. THOMAS RICHARD YOUNG III |
| Credential | M.D. |
| Practice Address |
4815 N High Country Way Star ID 83669-5309 |
| Practice Telephone | 2087616884 |
| Mailing Telephone | 2087616884 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-05-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M 4112 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033344866 | Thomas J Young | Surgery | 401 Mulberry Street, Sw, Suite 202, Lenoir, NC 28645 | 2009-05-22 |
| 1134342728 | Thomas S Young | Dentist | 3319 Mission Dr, Santa Cruz, CA 95065 | 2007-04-11 |
| 1689797029 | Thomas P Young IIi | Nurse Practitioner | 1615 Hill Rd Ste J, Novato, CA 94947-4338 | 2007-04-09 |
| 1144341835 | Thomas Charles Young | Marriage & Family Therapist | 17064 Old Downieville Highway, Nevada City, CA 95959 | 2007-04-02 |
| 1922143668 | Thomas Young | Chiropractor | 4777 City Center Pkwy, Port Orange, FL 32129-4153 | 2007-02-20 |
| 1396898185 | Thomas E Young | Dentist | 807 S W S Young Dr, Killeen, TX 76543-4801 | 2007-01-18 |
| 1821149378 | Thomas D Young | Counselor | 6935 Wisconsin Ave, Suite 304, Chevy Chase, MD 20815-6109 | 2007-01-12 |
| 1740392083 | Thomas James Young | Chiropractor | 8909 Gravelly Lake Drive Sw, Lakewood, WA 98499-3109 | 2006-08-31 |
| 1417964792 | Thomas A Young | Optometrist | 211 E Havens St, Mitchell, SD 57301-4402 | 2006-08-01 |
| 1982624938 | Thomas William Young | Pathology | 660 E 24th St, Kansas City, MO 64108-2606 | 2006-07-20 |
| Street Address |
4815 N HIGH COUNTRY WAY |
| City | STAR |
| State | ID |
| Zip Code | 83669-5309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861999377 | Bi-mart Corporation | Pharmacy | 11347 W State Street, Star, ID 83669 | 2018-04-11 |
| 1285014779 | Boise River Physical Therapy | Physical Therapist | 64 S Star Road, Suite 2, Star, ID 83669 | 2015-06-01 |
| 1003250754 | Carol Tidwell | Counselor | 11104 W State St, Star, ID 83669 | 2013-04-24 |
| 1780816652 | Mark Olsen | Dentist | 12192 Evely Pines Ln, Star, ID 83669 | 2009-08-11 |
| 1770759912 | Richard E. Adams | Chiropractor | 11231 W Hercules Dr A, Star, ID 83669 | 2008-05-07 |
| 1861674707 | Keen Eye Vision Pllc | Optometrist | 170 South Seneca Springs Way, Suite 100, Star, ID 83669 | 2007-12-03 |
| 1639358773 | Natural Smile Dental Pllc | Dentist | 10706 W State St, Suite 105, Star, ID 83669 | 2007-10-25 |
| 1659566727 | Allied Mental Health Services, P.l.l.c. | Case Management | 11104 W. State St., Star, ID 83669 | 2007-09-11 |
| 1972709103 | Martin A Mangan | Family Medicine | 10717 W State Street, Star, ID 83669 | 2007-06-25 |
| 1699021246 | Leslie Leet | Social Worker | 246 N Main St, Star, ID 83669 | 2012-08-01 |
| Find all providers in zip 83669 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972709103 | Martin A Mangan | Family Medicine | 10717 W State Street, Star, ID 83669 | 2007-06-25 |
| 1649589664 | Katherine Lea Mcdonough | Family Medicine | 10717 W State Street, Star, ID 83669 | 2010-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375659 | Jonathan Barrus Do PC | Family Medicine | 2020 S Johns Avenue, Emmett, ID 83617 | 2020-10-29 |
| 1750998126 | Story Family Medicine | Family Medicine | 1150 Alturas Dr Ste 101, Moscow, ID 83843-3263 | 2020-09-29 |
| 1780298430 | Alliance Medical Group, LLC | Family Medicine | Kuna Primary Health Medical Group, 1474 N. Meridian Road, Kuna, ID 83634 | 2020-09-01 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1447880570 | Bore LLC | Family Medicine | 1498 Midway Ave Ste 2, Ammon, ID 83406-4587 | 2020-01-16 |
| 1669038220 | Savannah M Klinginsmith | Family Medicine | 17866 Polara Way, Nampa, ID 83687-9159 | 2019-05-18 |
| 1487218814 | Logan Perkins | Family Medicine | 132 5th Ave W Ste 2, Jerome, ID 83338-1825 | 2019-05-01 |
| 1588227656 | Traci H Permenter | Family Medicine | 943 N Linder Rd Ste 103, Kuna, ID 83634-3395 | 2019-04-15 |
| 1790244424 | Destin Thayne Bep Inc | Family Medicine | 859 S Yellowstone Hwy Ste 304, Rexburg, ID 83440-5294 | 2019-03-12 |
| 1447718853 | Root Cause Integrative Medicine LLC | Family Medicine | 1547 S Midway Ave, Suite B, Ammon, ID 83406 | 2019-03-05 |
| Find all providers with the same taxonomy | ||||
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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.