ROGER YOUNG


Address: 1250 W Whittaker St, Salem, IL 62881-1917
Phone: 6185483740

ROGER YOUNG (NPI# 1952399511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952399511
Entity Type Individual
Full Name ROGER YOUNG
Credential NP
Practice Address 1250 W Whittaker St
Salem
IL 62881-1917
Practice Telephone 6185483740
Practice Fax Number 6185483705
Mailing Telephone 6185483740
Mailing Fax Number 6185483705
Enumeration Date 2005-10-07
Last Update Date 2013-10-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 041255812 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL GRP MEDICARE NUMBER 208959 01
IL RAILROAD MEDICARE 110230526 01
IL GRP MEDICARE NUMBER 207988 01
IL RR MEDICARE GROUP NUMBER CJ2166 01
IL RAILROAD MEDICARE NUMBER 500025714 01

Other Providers ROGER YOUNG

NPI Name Taxonomy Address Enumeration
1518167881 Roger Lee Young Counselor 4105 Sunnyside Cres, Madison, WI 53704-3536 2007-07-24
1952480683 Roger Young Hospitalist 3325 Grosbeak Ct, Davis, CA 95616-7511 2006-11-03
1366554461 Roger F Young Optometrist 3465 Pioneer Pkwy Ste 5, West Valley City, UT 84120-2079 2006-08-31
1013998434 Roger M Young Dentist 26741 Main St, 26741 Main St, Ardmore, TN 38449-3120 2005-11-11
1689665630 Roger Wayne Young Optometrist 8700 Central Mall Drive, Port Arthur, TX 77642-8058 2005-10-31
1235127358 Roger B. Young II General Practice 2020 South I-35 Service Rd., Moore, OK 73160 2005-10-12
1396744124 Roger Allen Young Optometrist 2004 Bayshore Rd, Villas, NJ 08251-1815 2005-07-14
1518192731 Roger Oliver Young Massage Therapist 500 W. Sterthaus Rd, Ormond Beach, FL 32174 2009-05-18
1750448601 Roger Young Social Worker 1808 Route 6, Carmel, NY 10512-2356 2007-01-02
1114036027 Roger Charles Young Obstetrics & Gynecology 853 Jefferson Ave, E160, Memphis, TN 38103-2807 2006-08-30

Office Location

Street Address 1250 W WHITTAKER ST
City SALEM
State IL
Zip Code 62881-1917

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619109543 Physician Services Corp of Southern Illinois Clinic/Center 1250 W Whittaker St, Salem, IL 62881-1917 2009-08-11
1619024361 Keith Shaw Physical Medicine & Rehabilitation 1250 W Whittaker St, Salem, IL 62881-1917 2007-01-04
1497842785 Michael Smith Physical Medicine & Rehabilitation 1250 W Whittaker St, Salem, IL 62881-1917 2006-10-06
1841390846 Trisha Bass Physical Medicine & Rehabilitation 1250 W Whittaker St, Salem, IL 62881-1917 2006-09-22
1881648194 Mary K Piper Family Medicine 1250 W Whittaker St, Salem, IL 62881-1917 2006-05-20
1255394797 Tamara Dee Foltz Nurse Practitioner 1250 W Whittaker St, Salem, IL 62881-1917 2006-04-07
1316909021 Mahvish Zahoor Family Medicine 1250 W Whittaker St, Salem, IL 62881-1917 2006-04-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447776026 Heather Krajefska Speech-Language Pathologist Franklin Park School, 1325 N Franklin, Salem, IL 62881 2017-08-16
1629510581 Heidi V. Thompson Nurse Practitioner 1250 W. Whittaker, Salem, IL 62881 2016-11-09
1548664170 Catherine Durbin Nurse Practitioner 518 South Broadway, Salem, IL 62881 2014-10-10
1770718439 Community Resource Center, Inc Community/Behavioral Health 315 Westgate, Salem, IL 62881 2009-05-26
1932377652 Community Resource Center Inc Clinic/Center 315 Westgate Ave, Salem, IL 62881 2008-02-15
1245408053 The Manor At Salem Woods, L.p. Assisted Living Facility 441 S. Hotze Rd., Salem, IL 62881 2008-02-14
1366610321 Penta Group Inc. Non-emergency Medical Transport (VAN) 300 Schoonover Drive, Salem, IL 62881 2008-02-13
1326192808 Alan D Montgomery Optometrist 400 North Broadway, Salem, IL 62881 2007-01-22
1669539979 Knevitt Inc Ambulance 3340 Selmaville Rd, Salem, IL 62881 2007-01-03
1447314737 Gautam Jha Internal Medicine 1325 W. Whittaker, Suite D, Salem, IL 62881 2006-12-20
Find all providers in zip 62881

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134759012 Caleb James Calder Nurse Practitioner 11 Oakland St, Salem, MA 01970-1520 2020-01-20
1467928184 Jean David Thomas Nurse Practitioner Salem Family Health Center, 47 Congress Street, Salem, MA 01970 2018-10-20
1407371388 Debra Lee Jenkins Nurse Practitioner 1905 Mcvitty Rd, Salem, VA 24153-7405 2017-08-11
1003282310 Rachell Renee Davis Nurse Practitioner 1793 13th St. Se, Salem, OR 97302 2015-08-20
1194108365 Danielle Marlene Dupuis Nurse Practitioner 810 Commercial St Se, Salem, OR 97302 2015-07-06
1306272471 Josh Hooton Nurse Practitioner 251 W State Road 198 Ste 3, Salem, UT 84653-5608 2013-09-20
1104082197 Richard Fredrick Meyers Nurse Practitioner 670 Hawthorne Ave Se, Suite 160, Salem, OR 97301-6884 2008-07-30
1831398122 Karlen E Luthy Nurse Practitioner 118 N Main St Ste B, Salem, UT 84653-5698 2007-07-16
1174603401 Anthony G Haralabatos Nurse Practitioner 59 Stiles Rd 104, Salem, NH 03079-5816 2006-10-17
1457378044 Robert M Wilkinson Nurse Practitioner 141 Hospital Dr Ste 103, Salem, KY 42078-8043 2006-07-17
Find all providers in SALEM

Competitor

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City SALEM
Zip Code 62881

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Dataset Information

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.

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