TIMOTHY NOEL YOUNG (NPI# 1962403071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962403071 |
| Entity Type | Individual |
| Full Name | TIMOTHY NOEL YOUNG |
| Credential | MD |
| Practice Address |
5300 North St Nacogdoches TX 75965-1370 |
| Practice Telephone | 9365698278 |
| Practice Fax Number | 9365690275 |
| Mailing Telephone | 9365698278 |
| Mailing Fax Number | 9365690275 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2012-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | N4219 | TX | Other Service Providers |
| Y | 207W00000X | Ophthalmology | N4219 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RR MEDICARE | P00740176 | 01 |
| TX | 2057937-01 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518579382 | Timothy Phillip Young | Speech-Language Pathologist | 1015 Burning Springs Cir, Louisville, KY 40223-3654 | 2020-08-21 |
| 1326510454 | Timothy Young | Marriage & Family Therapist | 211 E Coeur D Alene Ave, Coeur D Alene, ID 83814-4926 | 2018-12-31 |
| 1366814691 | Timothy Lewis Young | Counselor | 2301 Ox Wagon Trl, Round Rock, TX 78665-2178 | 2015-10-26 |
| 1104103886 | Timothy Dewayne Young | Behavioral Analyst | 1317 E Wallace St, Shawnee, OK 74801-6412 | 2011-11-09 |
| 1184779266 | Timothy James Young Jr. | Chiropractor | 3206 Tower Oaks Blvd, Suite 150, Rockville, MD 20852-4254 | 2007-01-25 |
| 1710045232 | Timothy Earl Young | Chiropractor | 6020 N Robinson Ave, Oklahoma City, OK 73118-7426 | 2006-12-05 |
| 1588753966 | Timothy Jeramiah Young | Dentist | 7401 Lohmans Ford Rd, Lago Vista, TX 78645-4758 | 2006-10-12 |
| 1932722659 | Timothy J Young | Nurse Anesthetist, Certified Registered | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2020-05-28 |
| 1356812770 | Timothy John Young | Physical Therapist | 2472 Ashmun St, Sault Sainte Marie, MI 49783-3768 | 2018-12-11 |
| 1821595414 | Timothy Ryan Young | Behavior Technician | 2344 Helen St N, North Saint Paul, MN 55109-2942 | 2018-04-10 |
| Street Address |
5300 NORTH ST |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75965-1370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902283559 | Anna Elyse Lehmann | Internal Medicine | 5300 North St, Nacogdoches, TX 75965-1301 | 2015-05-04 |
| 1982015921 | James P Berg | Ophthalmology | 5300 North St, Nacogdoches, TX 75965 | 2014-05-13 |
| 1437340601 | Robert R Mcminn | Clinic/Center | 5300 North St, Nacogdoches, TX 75965-1370 | 2007-08-05 |
| 1679687438 | Lehmann Eye Center, Pa | Specialist | 5300 North St, Nacogdoches, TX 75965 | 2006-08-18 |
| 1497869267 | Doctors Surgery Center, Inc | Clinic/Center | 5300 North St, Nacogdoches, TX 75965-1370 | 2006-08-18 |
| 1780642595 | Jacqueline Hilton | Optometrist | 5300 North St, Nacogdoches, TX 75965-1370 | 2006-05-02 |
| 1942268743 | Robert Paul Lehmann | Specialist | 5300 North St, Nacogdoches, TX 75965-1370 | 2006-05-02 |
| 1942264908 | Robert R Mcminn Jr. | Nurse Anesthetist, Certified Registered | 5300 North St, Nacogdoches, TX 75965-1370 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649839135 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3824 N University Drive, Suite 103, Nacogdoches, TX 75965 | 2019-06-10 |
| 1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
| 1295217610 | Sarah Ponder | Registered Nurse | 625 Woodway Lane, Nacogdoches, TX 75965 | 2018-09-01 |
| 1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
| 1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
| 1457809949 | Kassey Osborn | Nurse Practitioner | 4920 Ne Stallings Dr., Nacogdoches Medical Center, Nacogdoches, TX 75965 | 2016-09-14 |
| 1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
| 1457741704 | Nuch of Texas | Pediatrics | 1305 North Street, Nacogdoches, TX 75965 | 2015-01-26 |
| 1730506031 | Benjamin Patrick Thompson | Obstetrics & Gynecology | 4800 Ne Stallings Dr Ste 106, Nacogdoches, TX 75965 | 2014-03-25 |
| 1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
| Find all providers in zip 75965 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982015921 | James P Berg | Ophthalmology | 5300 North St, Nacogdoches, TX 75965 | 2014-05-13 |
| 1598876237 | Shannon L Smith | Ophthalmology | 3302 Ne Stallings Dr, Nacogdoches, TX 75965-8727 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537402 | Dr. Rachel Gelmans Vision P.a. | Ophthalmology | 5201 North G Street, Mcallen, TX 78504 | 2020-10-28 |
| 1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1275180135 | Texas Eye Doctors, P.a. | Ophthalmology | 4501 Medical Center Dr Ste 300, Mckinney, TX 75069-6802 | 2019-08-23 |
| 1760036990 | Ward Dittmar Heinrich Jr. | Ophthalmology | 3295 Lockhill Selma Rd, San Antonio, TX 78230-3024 | 2019-07-25 |
| 1265091300 | Sheila Barbarino, Md Inc. | Ophthalmology | 1100 S Lamar Blvd Ste 2120, Austin, TX 78704-0380 | 2019-06-12 |
| 1487213872 | Mann Eye Center, Pa | Ophthalmology | 1530 Sun City Blvd Ste 150, Georgetown, TX 78633-5353 | 2019-06-10 |
| 1609432210 | J.w. Eye Associates, Pa | Ophthalmology | 11445 Dallas Pkwy Ste 290, Frisco, TX 75033-4257 | 2019-05-20 |
| 1376000737 | Nadim Sami Nassif | Ophthalmology | 5150 Hidalgo St Unit 403, Houston, TX 77056-6409 | 2019-02-21 |
| 1073087706 | Laser Sight, Lp | Ophthalmology | 6500 N Mo Pac Expy Ste 2101, Austin, TX 78731-3282 | 2019-01-16 |
| Find all providers with the same taxonomy | ||||
| City | NACOGDOCHES |
| Zip Code | 75965 |
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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.