DR. VASSILIA D YOUNG (NPI# 1750353389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750353389 |
| Entity Type | Individual |
| Full Name | DR. VASSILIA D YOUNG |
| Credential | MD |
| Practice Address |
7236 Jordan Dr Ste 101 Rapid City SD 57702-8740 |
| Mailing Address |
Po Box 6540 Rapid City SD 57709-6540 |
| Practice Telephone | 6053415565 |
| Practice Fax Number | 6053415595 |
| Mailing Telephone | 6053415565 |
| Mailing Fax Number | 6053415595 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2016-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 4069 | SD | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
4069 | SD | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
4069 | SD | Allopathic & Osteopathic Physicians |
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
4069 | SD | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
4069 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5900103 | 05 | |
| SD | WELLMARK BCBS NUMBER | 0040886 | 01 |
| WY | 116997100 | 05 | |
| WY | WYOMING BCBS NUMBER | 311267 | 01 |
| NE | 46046131400 | 05 | |
| SD | TRICARE NUMBER | 460461314 | 01 |
| Street Address |
7236 JORDAN DR STE 101 |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57702-8740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700858263 | Julie A Krein | Nurse Practitioner | 7236 Jordan Dr Ste 101, Rapid City, SD 57702-8740 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
| 1427603026 | Mikaela Licht | Technician | 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 | 2019-08-09 |
| 1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
| 1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1851813224 | Angie Deneire | Licensed Practical Nurse | 7312 Pinon Jay Circle, Rapid City, SD 57702 | 2017-07-07 |
| 1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
| 1932558939 | Emily T Rausch | Physical Therapist | 2040 West Main, #212, Rapid City, SD 57702 | 2016-06-09 |
| 1033597810 | John Dennis Burke | Speech-Language Pathologist | 4635 Wentworth Drive, Rapid City, SD 57702 | 2015-05-12 |
| 1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
| 1306272414 | Lindsy Jo Wathen | Speech-Language Pathologist | 13232 Klondike Road, Rapid City, SD 57702 | 2013-09-20 |
| Find all providers in zip 57702 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124210828 | Linda Jo Fromm | Dermatology | 4447 S Canyon Rd Ste 6, Rapid City, SD 57702-1889 | 2007-08-16 |
| 1235103060 | Marc E Boddicker | Dermatology | 710 Saint Anne St, Rapid City, SD 57701-4670 | 2006-02-16 |
| 1467426387 | Jonathan Dean Medeck | Dermatology | 710 Saint Anne Street, Rapid City, SD 57701-4670 | 2006-02-15 |
| 1972573707 | Roger Steven Knutsen | Dermatology | 717 Meade St, Suite 100, Rapid City, SD 57701-5103 | 2006-01-24 |
| 1659696672 | Siri Shirene Knutsen Larson | Dermatology | 717 Meade St, Suite 100, Rapid City, SD 57701-5103 | 2010-04-01 |
| 1861684748 | Robert Sage | Dermatology | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | 2007-08-14 |
| 1487853735 | Jason Noble | Dermatology | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | 2007-07-17 |
| 1942419759 | Melody Jean Eide | Dermatology | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | 2007-05-21 |
| 1346389178 | Advanced Dermatology Center, PC | Dermatology | 710 Saint Anne Street, Rapid City, SD 57701 | 2007-02-06 |
| 1619904067 | Lycia Thornburg | Dermatology | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | 2006-06-28 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57702 |
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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.