Jon Randal Young (NPI# 1700816709, PAC ID# 0345280087) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1700816709 |
PAC ID by PECOS | 0345280087 |
Professional Enrollment ID | I20050511001043 |
Full Name | Jon Randal Young |
Address |
4370 S Redwood Rd Suite B Taylorsville UT 84123-2223 |
Phone Number | 8019673338 |
Gender | M |
Credential | DPM |
Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
Graduation Year | 1983 |
Primary Specialty | PODIATRY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
460051 | JORDAN VALLEY MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
4370 S Redwood Rd, Suite B, Taylorsville, UT 84123-2223 | 8019673338 |
Street Address |
4370 S REDWOOD RD SUITE B |
City | TAYLORSVILLE |
State | UT |
Zip | 84123-2223 |
Name | Specialty | Organization | Address |
---|---|---|---|
Homer Ronald Brown | Podiatry | 4370 S Redwood Rd, Suite B, Salt Lake City, UT 84123-2223 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joanie Marie Limb | Nurse Practitioner | Amazing Medical Associates Inc | 434 W Ascension Way, Suite 225, Murray, UT 84123-2790 |
Sheri Lynn Schlagel | Nurse Practitioner | Amazing Medical Associates Inc | 434 W Ascension Way, Suite 225, Murray, UT 84123-2790 |
Jennifer N Griswold | Nurse Practitioner | Amazing Medical Associates Inc | 434 W Ascension Way, Suite 225, Murray, UT 84123-2790 |
Gabriella Dame | Nurse Practitioner | Amazing Medical Associates Inc | 434 W Ascension Way, Suite 225, Murray, UT 84123-2790 |
Kearsta Washburn | Nurse Practitioner | Amazing Medical Associates Inc | 434 W Ascension Way, Suite 225, Murray, UT 84123-2790 |
Alisha A Richins | Nurse Practitioner | Amazing Medical Associates Inc | 434 W Ascension Way, Suite 225, Murray, UT 84123-2790 |
Aubrey Ann Kruisman | Nurse Practitioner | Amazing Medical Associates Inc | 434 W Ascension Way, Suite 225, Murray, UT 84123-2790 |
Stephen L Miller | Cardiovascular Disease (cardiology) | Intermountain Heart Center PC | 5292 S College Dr, Suite 201, Murray, UT 84123-2958 |
Gary P Symkoviak | Cardiovascular Disease (cardiology) | Intermountain Heart Center PC | 5292 S College Dr, Suite 201, Murray, UT 84123-2958 |
Melissa Chan | Hospitalist | Ascendant Behavioral Health LLC | 4179 S Riverboat Rd, Suite 220, Taylorsville, UT 84123-2986 |
Find all physicians in zip 84123 |
City | TAYLORSVILLE |
Zip Code | 84123 |
Specialty | PODIATRY |
City + Specialty | TAYLORSVILLE + PODIATRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.