Elizabeth Johnson Young (NPI# 1316165103, PAC ID# 0547324493) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1316165103 |
| PAC ID by PECOS | 0547324493 |
| Professional Enrollment ID | I20090121000737 |
| Full Name | Elizabeth Johnson Young |
| Organization Legal Name | MOUNTAIN STATE MEDICAL ASSOCIATES PLLC |
| Address |
300 Kenton Dr Suite 100 Charleston WV 25311-1266 |
| Phone Number | 3043465533 |
| Gender | F |
| Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 8921062183 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510022 | CHARLESTON AREA MEDICAL CENTER |
| 510029 | THOMAS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 300 Kenton Dr, Suite 100, Charleston, WV 25311-1266 | 3043465533 | MOUNTAIN STATE MEDICAL ASSOCIATES PLLC |
| Organization Legal Name | MOUNTAIN STATE MEDICAL ASSOCIATES PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa M Sitler | Internal Medicine | Mountain State Medical Associates Pllc | 300 Kenton Dr, Suite 100, Charleston, WV 25311-1266 |
| Kelli Jo Dumm | Internal Medicine | Mountain State Medical Associates Pllc | 300 Kenton Dr, Suite 100, Charleston, WV 25311-1266 |
| Justin D Bailey | Internal Medicine | Mountain State Medical Associates Pllc | 300 Kenton Dr, Suite 100, Charleston, WV 25311-1266 |
| Street Address |
300 KENTON DR SUITE 100 |
| City | CHARLESTON |
| State | WV |
| Zip | 25311-1266 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa M Sitler | Internal Medicine | Mountain State Medical Associates Pllc | 300 Kenton Dr, Suite 100, Charleston, WV 25311-1266 |
| Jennifer L Whaley | Nurse Practitioner | Beckley Dermatology Inc. | 300 Kenton Dr, Suite 2, Charleston, WV 25311-1266 |
| Kelli Jo Dumm | Internal Medicine | Mountain State Medical Associates Pllc | 300 Kenton Dr, Suite 100, Charleston, WV 25311-1266 |
| Justin D Bailey | Internal Medicine | Mountain State Medical Associates Pllc | 300 Kenton Dr, Suite 100, Charleston, WV 25311-1266 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P Pierson | Orthopedic Surgery | Neurological Associates Inc | 100 Tracy Way, Charleston, WV 25311-1257 |
| Amber B Bays | Physical Therapy | Neurological Associates Inc | 100 Tracy Way, Charleston, WV 25311-1257 |
| Jason Castle | Orthopedic Surgery | Neurological Associates Inc | 100 Tracy Way, Charleston, WV 25311-1257 |
| Mark D Henrich | Physical Therapy | Neurological Associates Inc | 100 Tracy Way, Charleston, WV 25311-1257 |
| Paul Legg | Orthopedic Surgery | Neurological Associates Inc | 100 Tracy Way, Charleston, WV 25311-1257 |
| Clark Adkins | Orthopedic Surgery | Neurological Associates Inc | 100 Tracy Way, Charleston, WV 25311-1257 |
| Carrie P Frame | Podiatry | Neurological Associates Inc | 100 Tracy Way, Charleston, WV 25311-1257 |
| Amy B Cope | Physician Assistant | Bone and Joint Surgeons Inc | 100 Tracy Way, Charleston, WV 25311-1257 |
| Patricia K Lewis | Nurse Practitioner | 200 Association Dr, Suite 140, Charleston, WV 25311-1277 | |
| Lynn Ellen Engle-laneve | Optometry | Greenbrier Vision Center Inc | 806 Greenbrier St, Charleston, WV 25311-1527 |
| Find all physicians in zip 25311 | |||
| City | CHARLESTON |
| Zip Code | 25311 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CHARLESTON + INTERNAL MEDICINE |
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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.