P D Young Jr. (NPI# 1407837982, PAC ID# 0648246264) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1407837982 |
| PAC ID by PECOS | 0648246264 |
| Professional Enrollment ID | I20061120000116 |
| Full Name | P D Young Jr. |
| Organization Legal Name | HEARTLAND WOMEN'S HEALTHCARE MO PC |
| Address |
1603 Wentzville Pkwy Heartland Women's Healthcare Wentzville MO 63385-3826 |
| Phone Number | 6189975266422 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 7618236415 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260200 | SSM ST JOSEPH HOSPITAL WEST |
| Address | Phone | Organization |
|---|---|---|
| 1603 Wentzville Pkwy, Heartland Women's Healthcare, Wentzville, MO 63385-3826 | 6189975266422 | HEARTLAND WOMEN'S HEALTHCARE MO PC |
| Organization Legal Name | HEARTLAND WOMEN'S HEALTHCARE MO PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carrera Constance Williams | Nurse Practitioner | Heartland Women's Healthcare Mo PC | 2340 Katy Ln, Poplar Bluff, MO 63901-2300 |
| Pamela A Sullivan | Obstetrics/gynecology | Heartland Women's Healthcare Mo PC | 1000 Edgewater Pt, Suite 200, Lake St Louis, MO 63367-2954 |
| Nanci J Bucy | Obstetrics/gynecology | Heartland Women's Healthcare Mo PC | 1000 Edgewater Pt, Suite 200, Lake St Louis, MO 63367-2954 |
| Emily L Sammons | Obstetrics/gynecology | Heartland Women's Healthcare Mo PC | 1000 Edgewater Pt, Suite 200, Lake St Louis, MO 63367-2954 |
| Carrie Lynn Carda | Obstetrics/gynecology | Heartland Women's Healthcare Mo PC | 1603 Wentzville Pkwy, Heartland Women's Healthcare, Wentzville, MO 63385-3826 |
| Street Address |
1603 WENTZVILLE PKWY HEARTLAND WOMEN'S HEALTHCARE |
| City | WENTZVILLE |
| State | MO |
| Zip | 63385-3826 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Leung | Nurse Practitioner | Ssm Medical Group Inc | 1603 Wentzville Pkwy, Wentzville, MO 63385-3826 |
| Adina Lumley Rey | Nurse Practitioner | Ssm Medical Group Inc | 1603 Wentzville Pkwy, Wentzville, MO 63385-3826 |
| Manojpal S Dahuja | Pulmonary Disease | Ssm Medical Group Inc | 1603 Wentzville Pkwy, Wentzville, MO 63385-3826 |
| Howard E Goldberg | Pulmonary Disease | Ssm Medical Group Inc | 1603 Wentzville Pkwy, Wentzville, MO 63385-3826 |
| Brooke Colbert | Internal Medicine | Ssm Medical Group Inc | 1603 Wentzville Pkwy, Wentzville, MO 63385-3826 |
| Amy M Oconnell | Nurse Practitioner | Ssm Medical Group Inc | 1603 Wentzville Pkwy, Wentzville, MO 63385-3826 |
| Carrie Lynn Carda | Obstetrics/gynecology | Heartland Women's Healthcare Mo PC | 1603 Wentzville Pkwy, Heartland Women's Healthcare, Wentzville, MO 63385-3826 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sudhir Raikar | Emergency Medicine | Our Urgent Care LLC | 1111 W Pearce Blvd, Wentzville, MO 63385-1020 |
| Kristi L Ramos | Nurse Practitioner | Our Urgent Care LLC | 1111 W Pearce Blvd, Wentzville, MO 63385-1020 |
| Lacy R Bach | Nurse Practitioner | Our Urgent Care LLC | 1111 W Pearce Blvd, Wentzville, MO 63385-1020 |
| Tracy N Killian | Nurse Practitioner | Our Urgent Care LLC | 1111 W Pearce Blvd, Wentzville, MO 63385-1020 |
| Thomas M Farrell | Internal Medicine | Our Urgent Care LLC | 1111 W Pearce Blvd, Wentzville, MO 63385-1020 |
| Joan L Brower | Chiropractic | 1023 Main Plaza Dr, Wentzville, MO 63385-1170 | |
| Daryl L Ridgeway | Chiropractic | 1023 Main Plaza Dr, Wentzville, MO 63385-1170 | |
| Xephyr M Day | Chiropractic | 1023 Main Plaza Dr, Wentzville, MO 63385-1170 | |
| Leah Owens | Chiropractic | 1023 Main Plaza Dr, Wentzville, MO 63385-1170 | |
| Steven J Meacham | Chiropractic | 1023 Main Plaza Dr, Wentzville, MO 63385-1170 | |
| Find all physicians in zip 63385 | |||
| City | WENTZVILLE |
| Zip Code | 63385 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | WENTZVILLE + OBSTETRICS/GYNECOLOGY |
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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.