Marvin J Young (NPI# 1235221219, PAC ID# 7214007087) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1235221219 |
| PAC ID by PECOS | 7214007087 |
| Professional Enrollment ID | I20080605000306 |
| Full Name | Marvin J Young |
| Organization Legal Name | CENTRAL FLORIDA PHYSICIAN NETWORK LLC |
| Address |
1071 S Sun Dr 1003 Heathrow Ob/gyn Lake Mary FL 32746-2405 |
| Phone Number | 4073331616 |
| Gender | M |
| Medical School | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 5193895969 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100161 | CENTRAL FLORIDA REGIONAL HOSPITAL |
| 100329 | OVIEDO MEDICAL CENTER |
| 100072 | FLORIDA HOSPITAL FISH MEMORIAL |
| Address | Phone | Organization |
|---|---|---|
| 1071 S Sun Dr, 1003 Heathrow Ob/gyn, Lake Mary, FL 32746-2405 | 4073331616 | CENTRAL FLORIDA PHYSICIAN NETWORK LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | CENTRAL FLORIDA PHYSICIAN NETWORK LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Khaled M Shahrour | Urology | Central Florida Physician Network LLC | 1071 S Sun Dr, 1003 Heathrow Ob/gyn, Lake Mary, FL 32746-2405 |
| Erik D Schoenberg | Otolaryngology | Central Florida Physician Network LLC | 200 N Mangoustine Ave, Sanford, FL 32771-1017 |
| Robert A Badalament | Urology | Central Florida Physician Network LLC | 1401 S Seminole Blvd, Sanford, FL 32771-6743 |
| Eustus Stephen Nelson | Urology | Central Florida Physician Network LLC | 905 N Central Ave, Kissimmee, FL 34741-5005 |
| John J Mcgetrick | Urology | Central Florida Physician Network LLC | 1401 S Seminole Blvd, Sanford, FL 32771-6743 |
| Christy A Waldron | Nurse Practitioner | Central Florida Physician Network LLC | 1071 S Sun Dr, 1003 Heathrow Ob/gyn, Lake Mary, FL 32746-2405 |
| Prakash N Maniam | Urology | Central Florida Physician Network LLC | 8300 Red Bud Lake Rd, Oviedo, FL 32765-6801 |
| Judith C. Mcdonald | Physician Assistant | Central Florida Physician Network LLC | 305 N Mangoustine Ave, Suite 100, Sanford, FL 32771-1004 |
| Alberto M Maldonado | Cardiac Surgery | Central Florida Physician Network LLC | 305 N Mangoustine Ave, Suite 100, Sanford, FL 32771-1004 |
| Street Address |
1071 S SUN DR 1003 HEATHROW OB/GYN |
| City | LAKE MARY |
| State | FL |
| Zip | 32746-2405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Khaled M Shahrour | Urology | Central Florida Physician Network LLC | 1071 S Sun Dr, 1003 Heathrow Ob/gyn, Lake Mary, FL 32746-2405 |
| Carhine Pierre-lambert | Obstetrics/gynecology | Womens Health Center of Central Florida LLC | 1071 S Sun Dr, Suite 1043, Lake Mary, FL 32746-2405 |
| Courtney R Mathis | Nurse Practitioner | Womens Health Center of Central Florida LLC | 1071 S Sun Dr, Suite 1043, Lake Mary, FL 32746-2405 |
| Stacey L Sensor | Obstetrics/gynecology | Womens Health Center of Central Florida LLC | 1071 S Sun Dr, Suite 1043, Lake Mary, FL 32746-2405 |
| Christy A Waldron | Nurse Practitioner | Central Florida Physician Network LLC | 1071 S Sun Dr, 1003 Heathrow Ob/gyn, Lake Mary, FL 32746-2405 |
| Lisa Cara | Nurse Practitioner | Womens Health Center of Central Florida LLC | 1071 S Sun Dr, Suite 1043, Lake Mary, FL 32746-2405 |
| Larissa A Guerrero | Obstetrics/gynecology | Womens Health Center of Central Florida LLC | 1071 S Sun Dr, Suite 1043, Lake Mary, FL 32746-2405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wilberto L Lopez | Cardiovascular Disease (cardiology) | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
| Carlos P Grullon | Cardiovascular Disease (cardiology) | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
| Lawrence E Vallario | Cardiovascular Disease (cardiology) | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
| Mulugeta Fissha | Interventional Cardiology | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
| William J David | Cardiovascular Disease (cardiology) | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
| Stephen M Reed | Orthopedic Surgery | Florida Orthopaedic Associates Pa | 1337 S International Pkwy, Suite 1341, Lake Mary, FL 32746-1402 |
| Benjamin Golden Thomasson | Orthopedic Surgery | Florida Orthopaedic Associates Pa | 1337 S International Pkwy, Suite 1341, Lake Mary, FL 32746-1402 |
| Robert Frances Love | Optometry | 1331 S International Pkwy, Suite 1271, Lake Mary, FL 32746-1405 | |
| Jorge O Diaz | Cardiac Electrophysiology | Jorge O Diaz Md Pa | 1331 S International Pkwy, Suite 1261, Lake Mary, FL 32746-1405 |
| Rafael E Pena | Cardiac Electrophysiology | Jorge O Diaz Md Pa | 1331 S International Pkwy, Suite 1261, Lake Mary, FL 32746-1405 |
| Find all physicians in zip 32746 | |||
| City | LAKE MARY |
| Zip Code | 32746 |
| Specialty | UROLOGY |
| City + Specialty | LAKE MARY + UROLOGY |
Please comment or provide details below to improve the information on Marvin J Young.
| 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.