DR. EVAN REESE YOUNG (NPI# 1881962652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881962652 |
Entity Type | Individual |
Full Name | DR. EVAN REESE YOUNG |
Credential | D.P.M. |
Practice Address |
5004 S U St Fort Smith AR 72903-3600 |
Mailing Address |
Po Box 3528 Fort Smith AR 72913-3528 |
Practice Telephone | 4792746700 |
Practice Fax Number | 4794844768 |
Mailing Telephone | 4792742000 |
Mailing Fax Number | 4792742194 |
Enumeration Date | 2011-12-08 |
Last Update Date | 2015-09-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 135.000731 | IL | Podiatric Medicine & Surgery Service Providers |
N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
135.000731 | IL | Podiatric Medicine & Surgery Service Providers |
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
135.000731 | IL | Podiatric Medicine & Surgery Service Providers |
N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
135.000731 | IL | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | OKLAHOMA MEDICAID | 200534350A | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679031769 | Evan Young | Student in an Organized Health Care Education/Training Program | 152 N Buckman St, Shepherdsville, KY 40165-5900 | 2019-03-07 |
1487945325 | Evan Berkeley Young | Radiology | 100 N Academy Ave, Danville, PA 17822-0001 | 2011-04-26 |
1124256417 | Evan Graham Young | Dentist | 2000 Abbott Rd, Suite 100, Anchorage, AK 99507-3878 | 2009-06-25 |
1265429633 | Evan Charles Young | Orthopaedic Surgery | 423 E Main St, Suite A, Carson City, MI 48811-9741 | 2005-09-30 |
Street Address |
5004 S U ST |
City | FORT SMITH |
State | AR |
Zip Code | 72903-3600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124045828 | Kent L Magrini | Podiatrist | 5004 S U St, Fort Smith, AR 72903-3600 | 2006-07-17 |
1063768901 | Cooper Clinic Pa | Podiatrist | 5004 S U St, Fort Smith, AR 72903-3600 | 2012-07-30 |
1780691758 | Cooper Clinic Pa | Podiatrist | 5004 S U St, Suite 101b, Fort Smith, AR 72903-3600 | 2006-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
Find all providers in zip 72903 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386045763 | Rajnish Rammohan | Podiatrist | 5004 S U St Ste 101b, Fort Smith, AR 72903-3600 | 2014-09-04 |
1124045828 | Kent L Magrini | Podiatrist | 5004 S U St, Fort Smith, AR 72903-3600 | 2006-07-17 |
1598707754 | Daniel Barry Klein | Podiatrist | 9000 Rogers Ave, Ste B, Fort Smith, AR 72903 | 2006-06-12 |
1841546785 | Cooper Clinic Pa | Podiatrist | 7306 Rogers Ave, Fort Smith, AR 72903-4164 | 2012-07-30 |
1063768901 | Cooper Clinic Pa | Podiatrist | 5004 S U St, Fort Smith, AR 72903-3600 | 2012-07-30 |
1740571454 | Ft Smith Hma Pbc Management, LLC | Podiatrist | 1500 Dodson Ave, Suite 290, Fort Smith, AR 72901-5182 | 2011-04-28 |
1710214010 | Cooper Clinic Pa | Podiatrist | 600 S 21st St, Fort Smith, AR 72901-3915 | 2009-11-06 |
1427281302 | Orthopaedics, Pa | Podiatrist | 3501 We Knight Dr, Fort Smith, AR 72903-6248 | 2009-08-26 |
1316150949 | Kenneth Paul Seiter Jr. | Podiatrist | 1500 Dodson Ave, Ste 290, Fort Smith, AR 72901-5182 | 2007-05-08 |
1316956634 | John D Wright | Podiatrist | 600 S 21st St, Fort Smith, AR 72901-3915 | 2006-08-05 |
Find all providers in FORT SMITH |
City | FORT SMITH |
Zip Code | 72903 |
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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.