THOMAS P YOUNG III (NPI# 1689797029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689797029 |
| Entity Type | Individual |
| Full Name | THOMAS P YOUNG III |
| Credential | NP |
| Practice Address |
1615 Hill Rd Ste J Novato CA 94947-4338 |
| Mailing Address |
55 Pikes Peak Dr San Rafael CA 94903-1121 |
| Practice Telephone | 4158951441 |
| Practice Fax Number | 4158951288 |
| Mailing Telephone | 4153882360 |
| Mailing Fax Number | 4159686620 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-04-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
7662 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
349096 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 518a Castro St, San Francisco, CA 941142512 | 4155522814 | 4155522909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033344866 | Thomas J Young | Surgery | 401 Mulberry Street, Sw, Suite 202, Lenoir, NC 28645 | 2009-05-22 |
| 1609083658 | Thomas Richard Young IIi | Family Medicine | 4815 N High Country Way, Star, ID 83669-5309 | 2007-05-17 |
| 1134342728 | Thomas S Young | Dentist | 3319 Mission Dr, Santa Cruz, CA 95065 | 2007-04-11 |
| 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 |
1615 HILL RD STE J |
| City | NOVATO |
| State | CA |
| Zip Code | 94947-4338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008013 | New 2 You Skin & Body | Family Medicine | 1615 Hill Rd Ste J, Novato, CA 94947-4338 | 2020-09-22 |
| 1932395712 | Michael David Steward | Family Medicine | 1615 Hill Rd Ste J, Novato, CA 94947-4338 | 2007-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407135882 | Rainey Sealey Temkin | Psychologist | 1682 Novato Blvd Ste 105, Novato, CA 94947 | 2011-08-16 |
| 1801192786 | Barbara Jean Gosselin | Marriage & Family Therapist | 1748 Novato Blvd Suite 210, Novato, CA 94947 | 2011-02-10 |
| 1659681377 | Karen Ann Murphy | Occupational Therapist | 27 Stasia Dr., Novato, CA 94947 | 2010-10-15 |
| 1154659415 | Christopher Michael Hackett | Chiropractor | 1559 South Novato Blvd., Suite E, Novato, CA 94947 | 2009-11-25 |
| 1003068305 | Suttinee Saguandeekul | Pharmacist | 910 Diablo Ave, Novato, CA 94947 | 2008-10-17 |
| 1891983581 | Shital Gandhi | Radiology | 500 Redwood Blvd Ste 300, Novato, CA 94947 | 2007-10-09 |
| 1356544126 | Victoria Elizabeth Herzog | Marriage & Family Therapist | 1682 Novato Blvd, Suite 250a, Novato, CA 94947 | 2007-06-07 |
| 1912047655 | Michael Craig Corder | Chiropractor | 1553 S Novato Blvd, A2 Corder Chiropractic Office, Novato, CA 94947 | 2007-02-08 |
| 1427106905 | Jacob Kyle Leone | Naturopath | 1748 Novato Blvd, Suite 100, Novato, CA 94947 | 2007-01-08 |
| 1881756401 | Mental Health Management I, Inc. | Psychiatric Residential Treatment Facility | 655 Canyon Road, Novato, CA 94947 | 2006-12-14 |
| Find all providers in zip 94947 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295948677 | Merri Martori | Nurse Practitioner | 34 Waterbury Ln, Novato, CA 94949-8239 | 2007-05-08 |
| 1174828560 | Amy Lynn Schmuecker | Nurse Practitioner | 7200 Redwood Blvd, Novato, CA 94945-3250 | 2011-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388504 | Daniel Ngo | Nurse Practitioner | 1180 S Hilda St, Anaheim, CA 92806-5007 | 2020-08-28 |
| 1407464522 | Laura Bradigan | Nurse Practitioner | 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 | 2020-07-15 |
| 1538787031 | Kelly Olcott | Nurse Practitioner | 4004 Via Lucero Apt 12, Santa Barbara, CA 93110-1692 | 2020-07-10 |
| 1629695440 | Kelley Ibarra | Nurse Practitioner | 1613 Celeste Dr, Modesto, CA 95355-5039 | 2020-06-26 |
| 1497379333 | Gloria Jean Campbell | Nurse Practitioner | 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 | 2020-06-06 |
| 1851913115 | Lilly Fong | Nurse Practitioner | 15821 Square Top Ln, Fontana, CA 92336-4586 | 2020-05-09 |
| 1548880750 | Sharkeiya Terrell | Nurse Practitioner | 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 | 2020-04-17 |
| 1730714007 | Julissa Leonides Caraballo | Nurse Practitioner | 4044 Promontory St, San Diego, CA 92109-5334 | 2020-03-07 |
| 1194355404 | Bethany Leda Donowho | Nurse Practitioner | 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 | 2020-01-26 |
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
| 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.