YOUTHFUL MD LLC (NPI# 1982244463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982244463 |
| Entity Type | Organization |
| Organization Name | YOUTHFUL MD LLC |
| Practice Address |
10595 Old Alabama Rd Con # 9a Alpharetta GA 30022 |
| Mailing Address |
245 Steeple Point Dr Roswell GA 30076-5521 |
| Practice Telephone | 8554112225 |
| Practice Fax Number | 8008143301 |
| Mailing Telephone | 7706955500 |
| Mailing Fax Number | 8008143301 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-06-24 |
| Authorized Official Name | DR. OFFER DANAN (CEO) |
| Authorized Official Telephone | 7706955500 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
10595 OLD ALABAMA RD CON # 9A |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194367185 | Maureen Onyewuenyi | Counselor | 1030 Jones Bridge Road, Suite 301, Johns Creek, GA 30022 | 2019-10-11 |
| 1427543032 | Neal Baker | Counselor | 5755 N Point Pkwy Ste 90, Alpharetta, GA 30022 | 2018-06-26 |
| 1215428685 | Advanced Cosmetic and Family Dentistry, PC | Durable Medical Equipment & Medical Supplies | 4205 North Point Parkway Bldg D, Alpharetta, GA 30022 | 2018-05-22 |
| 1114431541 | Grace Yang | Speech-Language Pathologist | 3207 Beaver Creek Road, Alpharetta, GA 30022 | 2017-11-21 |
| 1881112217 | Brittany Ketchup Hall | Counselor | 2750 Old Alabama Rd Unit 200, Alpharetta, GA 30022 | 2017-09-06 |
| 1154849867 | Fatima Wasim | Psychologist | 5755 N Point Pkwy Ste 79, Alpharetta, GA 30022 | 2017-09-01 |
| 1730602418 | Brian Keith Soles | Pharmacist | 4305 Old Milton Parkway, Alpharetta, GA 30022 | 2017-07-25 |
| 1548718976 | Serenity Life Counseling Center LLC | Community/Behavioral Health | 10068 Parc Sky Cir, Alpharetta, GA 30022 | 2016-09-14 |
| 1487016317 | National Vision, Inc. | Technician/Technologist | 7661 N Point Pwky, Ste 600, Alpharetta, GA 30022 | 2016-03-21 |
| 1356734479 | Bradley Hepler | Dentist | 11190 Haynes Bridge Rd, Alpharetta, GA 30022 | 2015-03-13 |
| Find all providers in zip 30022 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909535 | Newly Sought After International LLC | Family Medicine | 11815 Northfall Ln Ste 1001, Alpharetta, GA 30009-7973 | 2020-07-17 |
| 1457901209 | Carehere LLC | Family Medicine | Carehere Clinic- Jackson Healthcare, 2655 Northwinds Pkwy, Alpharetta, GA 30009 | 2019-09-13 |
| 1386054336 | Navdeep Mangat | Family Medicine | 450 Walden Glen Ln, Alpharetta, GA 30004-1436 | 2014-04-30 |
| 1447699152 | Jay Frederick Morgan | Family Medicine | 501 S Main St Ste 202, Alpharetta, GA 30009-1975 | 2013-06-17 |
| 1891041125 | Pooja Agarwal | Family Medicine | 3400 Old Milton Pkwy Ste 270, Alpharetta, GA 30005-3707 | 2012-07-24 |
| 1598064636 | Charles Phillips | Family Medicine | 6045 Carlisle Ln, 6045 Carlisle Ln, Alpharetta, GA 30022-6281 | 2011-03-15 |
| 1134429566 | Hoyland Harris Ricks | Family Medicine | 11675 Great Oaks Way, Alpharetta, GA 30022-2421 | 2010-11-02 |
| 1942515531 | Amena Samar | Family Medicine | 120 Sunvalley Dr, Alpharetta, GA 30004-4383 | 2010-08-09 |
| 1275844847 | Stephen Matthew Cox | Family Medicine | 2450 Old Milton Pkwy Ste 201, Alpharetta, GA 30009-2108 | 2010-06-29 |
| 1346561677 | Ramla Sharif | Family Medicine | 282 Rucker Rd Ste 140, Alpharetta, GA 30004-5826 | 2010-06-22 |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30022 |
Please comment or provide details below to improve the information on YOUTHFUL MD LLC.
| 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.