MR. LARRY YOUNG (NPI# 1700842143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700842143 |
| Entity Type | Individual |
| Full Name | MR. LARRY YOUNG |
| Credential | PA |
| Practice Address |
415 Morris St Suite 400 Charleston WV 25301-1842 |
| Practice Telephone | 3043443551 |
| Practice Fax Number | 3043426927 |
| Mailing Telephone | 3043443551 |
| Mailing Fax Number | 3043426927 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 89 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346454451 | Larry C. Young | Dentist | 4487 Baymeadows Rd, Jacksonville, FL 32217-4716 | 2007-05-09 |
| 1003933425 | Larry Joe Young | Chiropractor | 4201 Avenue R, Lubbock, TX 79412-1737 | 2007-03-22 |
| 1043317423 | Larry J Young | Obstetrics & Gynecology | Two Hurley Plaza, Suite 204, Flint, MI 48503 | 2006-09-20 |
| 1689654014 | Larry Creston Young | Otolaryngology | 345 23rd Ave North, Suite 412, Nashville, TN 37203 | 2006-01-20 |
| 1134402928 | Larry Young | Pharmacist | 1863 Union Ave, Memphis, TN 38104-4028 | 2011-09-28 |
| 1457639726 | Larry Dale Young | Nurse Anesthetist, Certified Registered | 701 N 1st St, Anesthesia Dept, Springfield, IL 62781-0001 | 2011-08-03 |
| 1750418877 | Larry Young | Nurse Anesthetist, Certified Registered | 1360 Medical Park Dr, Maysville, KY 41056-9621 | 2007-02-27 |
| 1427145259 | Larry J Young | Dentist | 203 Main Street, Matawan, NJ 07747 | 2006-10-05 |
| 1609978402 | Larry Leslie Young | Internal Medicine | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2006-09-02 |
| 1700846441 | Larry D. Young | Psychologist | 1208 Eastchester Dr, Suite 200, High Point, NC 27265-3170 | 2006-03-25 |
| Street Address |
415 MORRIS ST SUITE 400 |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25301-1842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326044710 | Michael M Boustany Md Inc | Surgery | 415 Morris St, Ste 105, Charleston, WV 25301-1840 | 2005-06-22 |
| 1306382460 | Joanne Marie Torres | Physician Assistant | 415 Morris St, Suite 400, Charleston, WV 25301-1842 | 2017-01-13 |
| 1396120531 | Wesley J. Massey | Nurse Practitioner | 415 Morris St, Suite 201, Charleston, WV 25301-1842 | 2015-07-29 |
| 1033591656 | Rebecca M Bowe | Nurse Practitioner | 415 Morris St, Suite 400, Charleston, WV 25301-1842 | 2015-06-19 |
| 1164801676 | Erik James Anderson | Physician Assistant | 415 Morris St, Suite 400, Charleston, WV 25301-1842 | 2015-05-29 |
| 1780001487 | Integrated Health Care Providers, Inc. | Ophthalmology | 415 Morris St, Suite 100, Charleston, WV 25301-1842 | 2014-03-20 |
| 1386998680 | Chelsea Elizabeth Walker | Physician Assistant | 415 Morris St, Suite 201, Charleston, WV 25301-1842 | 2012-11-08 |
| 1518210046 | Natalie F. Allen | Nurse Practitioner | 415 Morris St, Suite 201, Charleston, WV 25301-1842 | 2012-10-22 |
| 1346591468 | Jacquelin L. Mollohan | Nurse Practitioner | 415 Morris St, Suite 201, Charleston, WV 25301-1842 | 2012-09-28 |
| 1275888323 | Heather Renee Conway | Nurse Practitioner | 415 Morris St, Suite 400, Charleston, WV 25301-1842 | 2012-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087680 | Kerrie Rena Harris | Counselor | 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 | 2020-09-15 |
| 1285123471 | Burgess Dental | Dentist | 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 | 2018-05-03 |
| 1104322320 | Kara Caldwell | Psychologist | 333 Laidley St., 4'th Floor East, Charleston, WV 25301 | 2018-04-05 |
| 1740638022 | Christina Phalen | Pharmacy Technician | 701 Lee Street East, Charleston, WV 25301 | 2016-05-27 |
| 1366867079 | Brooke Powell Garnes | Speech-Language Pathologist | 1313 Quarrier Street, Suite A, Charleston, WV 25301 | 2014-03-04 |
| 1952648404 | Implanted Pump Management, LLC | Home Infusion | 311 Laidley St., Suite 202, Charleston, WV 25301 | 2013-01-03 |
| 1730435108 | Chaitanya Mishra | Internal Medicine | 501 Morris St Ste 357, Charleston, WV 25301 | 2012-08-03 |
| 1033477278 | James Stephen Harman | Neurological Surgery | 415 Morris St Ste 400, Charleston, WV 25301 | 2012-04-25 |
| 1265674329 | Howard and Howard Dental LLC | Dentist | 1321 Virginia St., Charleston, WV 25301 | 2009-04-03 |
| 1881856144 | Steven David Hollosi | Emergency Medicine | 501 Morris St., Charleston, WV 25301 | 2008-06-27 |
| Find all providers in zip 25301 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475326 | Rebecca Whealen | Physician Assistant | 2026 Huber Rd, Charleston, WV 25314-2236 | 2020-10-23 |
| 1275131054 | Ethan Brody Clontz | Physician Assistant | 1953 Pinehurst Ave, Charleston, SC 29414-6483 | 2020-10-13 |
| 1386251635 | Caitlin Estep | Physician Assistant | 3100 Maccorkle Ave Se Ste 802, Charleston, WV 25304-1233 | 2020-09-29 |
| 1487261509 | Reilly Kilpatrick | Physician Assistant | 1518 Blaze Ln, Charleston, SC 29412-8652 | 2020-09-24 |
| 1083228514 | Andrea Denise Boan | Physician Assistant | 12 Commercial Row Apt A, Charleston, SC 29412-3641 | 2020-09-02 |
| 1194343673 | Andrew N Brewer | Physician Assistant | 171 Ashley Ave Ste 419, Charleston, SC 29425-8908 | 2020-07-10 |
| 1396361309 | Jacquelyn Joseph | Physician Assistant | 134 Howard Mary Dr Apt A, Charleston, SC 29412-9581 | 2020-06-25 |
| 1639719990 | Jessy Marie Hamrick | Physician Assistant | 149 Dutch Rd Apt 105, Charleston, WV 25302-2530 | 2020-01-14 |
| 1093355521 | Virginia Noemi Escobar-cheng | Physician Assistant | 310 Red Mulberry Way Apt 3, Charleston, WV 25306-6395 | 2020-01-13 |
| 1598300279 | Breanne Marie Wiekamp | Physician Assistant | 20 Scarlet Oak Ln Apt 3, Charleston, WV 25306-1128 | 2019-11-17 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25301 |
Please comment or provide details below to improve the information on MR. LARRY 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.