DR. ANDREW JOHN YOUNG (NPI# 1992709869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992709869 |
| Entity Type | Individual |
| Full Name | DR. ANDREW JOHN YOUNG |
| Credential | DPM |
| Practice Address |
116 Imperial Dr Ste A Victoria TX 77901-3948 |
| Practice Telephone | 3615782777 |
| Practice Fax Number | 3615782778 |
| Mailing Telephone | 3615782777 |
| Mailing Fax Number | 3615782778 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2020-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 1551 | TX | Podiatric Medicine & Surgery Service Providers |
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
1551 | TX | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1551 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS PROVIDER NUMBER | 84532N | 01 |
| TX | 151244401 | 05 | |
| TX | RAILROAD MEDICARE | P00140108 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910143 | Andrew Young | Student in an Organized Health Care Education/Training Program | 1417 Harding Ave, Edmond, OK 73013-6365 | 2020-07-24 |
| 1689291320 | Andrew Young | Technician | 9980 N Hacienda Hermosa Dr, Tucson, AZ 85737-3645 | 2020-06-29 |
| 1609364033 | Andrew Mark Kavi Young | Registered Nurse | 65177 210th St, Elkton, MN 55933 | 2018-05-01 |
| 1417359191 | Andrew Sing Young | Dentist | 8055 W Manchester Ave Ste 204, Playa Del Rey, CA 90293-7962 | 2014-09-24 |
| 1336415934 | Andrew Teller Young | Anesthesiology | 757 Westwood Plz # 7icu, Los Angeles, CA 90095-8358 | 2012-03-28 |
| 1093092397 | Andrew Scott Young | Physical Therapy Assistant | 1383 Stacy Dr, Canton, MI 48188-1441 | 2011-11-15 |
| 1619256138 | Andrew Fray Young | Rehabilitation Practitioner | 9508 Chanticleer Ct, Las Vegas, NV 89129-7858 | 2011-08-15 |
| 1285968206 | Andrew Young | Dentist | 9119 130th Ave Ne, Kirkland, WA 98033-5923 | 2009-09-23 |
| 1548431117 | Andrew J Young | Dentist | 255 North Wilson St, Suite D, Nipomo, CA 93444 | 2008-03-21 |
| 1659310738 | Andrew Ginn Bong Young | Ophthalmology | 1 Hoppin St Ste 202, Providence, RI 02903-4141 | 2006-06-05 |
| Street Address |
116 IMPERIAL DR STE A |
| City | VICTORIA |
| State | TX |
| Zip Code | 77901-3948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568464634 | Maureen Leigh Caldwell | Podiatrist | 116 Imperial Dr, Ste A, Victoria, TX 77901-3948 | 2005-06-02 |
| 1174505358 | Podiatry Associates of Victoria Pa | Podiatrist | 116 Imperial Dr, Victoria, TX 77901-3948 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962540 | Uc Management Group LLC | Nurse Practitioner | 1908 N Laurent St Ste 410, Victoria, TX 77901 | 2020-08-12 |
| 1558823336 | Uzoma Melissa Obi-nwankwo | Family Medicine | Detar Family Medicine Center, 501 E Colorado St., Victoria, TX 77901 | 2019-04-02 |
| 1871058099 | Still Water Springs | Counselor | 103 East Airline Road, Suite 3, Victoria, TX 77901 | 2019-02-01 |
| 1811488349 | Victoria Np Clinic Pllc | Nurse Practitioner | 606 E. Nueces St, Victoria, TX 77901 | 2018-05-21 |
| 1003324823 | Raul Hernandez | Physical Therapy Assistant | 101 W Goodwin Ave Ste 600, Victoria, TX 77901 | 2018-01-15 |
| 1568916153 | Bdcv / Vpsc Associates, LLC | Dietitian, Registered | 4206 N Ben Jordan Street, Victoria, TX 77901 | 2016-08-11 |
| 1801349535 | James H Jarrett Jr. | Dietitian, Registered | 4206 N. Ben Jordan Street, Victoria, TX 77901 | 2016-07-29 |
| 1508218736 | Philip Henneke | Case Manager/Care Coordinator | 1802 N. Laurent, Victoria, TX 77901 | 2016-07-12 |
| 1194084145 | Kelly E. Rogers | Speech-Language Pathologist | 2903 B. Azalea St., Victoria, TX 77901 | 2012-05-11 |
| 1023393790 | Frederick B Niegos Mdpa | Internal Medicine | 2700 Citizens Plaza, Suite 206, Victoria, TX 77901 | 2011-10-13 |
| Find all providers in zip 77901 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508387549 | Barton Chase Garcia | Podiatrist | 116 Imperial Dr Ste A, Victoria, TX 77901-3948 | 2017-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699513 | K. Danneeru Dpm Pllc | Podiatrist | 8104 Pacific St, Frisco, TX 75035-7300 | 2020-11-08 |
| 1689179327 | Southwest Austin Foot & Ankle Clinic, Pllc | Podiatrist | 170 Benney Ln Ste 100, Dripping Springs, TX 78620-5566 | 2018-03-26 |
| 1023513751 | Southwest Austin Foot & Ankle Clinic | Podiatrist | 170 Benney Lane Ste 100, Dripping Springs, TX 78620 | 2018-03-26 |
| 1639695406 | Advantage Foot Care of Houston, Pllc | Podiatrist | 8313 Southwest Fwy Ste 105, Houston, TX 77074-1612 | 2017-08-14 |
| 1609225986 | Kelly Tatum Brace | Podiatrist | Scott and White, 2401 S 31st. St., Temple, TX 76508-0001 | 2016-06-08 |
| 1164890562 | Free Foot Doctor.com | Podiatrist | 24914 Tomball Pkwy Ste 180, Tomball, TX 77375-5080 | 2015-09-02 |
| 1992069777 | Brady Mallory | Podiatrist | 1940 East Hwy 114 Suite 150, Southlake, TX 76092 | 2012-06-27 |
| 1699034728 | Joel Bruce Dacus | Podiatrist | 4444 Heritage Trace Pkwy Ste 400, Fort Worth, TX 76244-8944 | 2012-05-09 |
| 1619241437 | Foot Center Mcallen-weslaco Pllc | Podiatrist | 4103 N Jackson Road, Ste. 200, Mcallen, TX 78504 | 2012-02-24 |
| 1295041002 | Stephanie Michelle Jupiter | Podiatrist | 531 Crestwater Ct, Houston, TX 77082-1517 | 2010-08-31 |
| Find all providers with the same taxonomy | ||||
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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.