ROBERT L. YOUNGBLOOD, M.D.,P.C. (NPI# 1003143942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003143942 |
| Entity Type | Organization |
| Organization Name | ROBERT L. YOUNGBLOOD, M.D.,P.C. |
| Practice Address |
880 E 9400 S Suite 111 Sandy UT 84094-3667 |
| Practice Telephone | 8015714007 |
| Practice Fax Number | 8015714145 |
| Mailing Telephone | 8015714007 |
| Mailing Fax Number | 8015714145 |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2009-11-13 |
| Authorized Official Name | DR. ROBERT LEE YOUNGBLOOD SR. (MEDICAL DOCTOR) |
| Authorized Official Telephone | 8015714007 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
150842-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
880 E 9400 S SUITE 111 |
| City | SANDY |
| State | UT |
| Zip Code | 84094-3667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639155377 | Steven K Jensen | Dentist | 880 E 9400 S, Sandy, UT 84094-3667 | 2005-12-15 |
| 1215322912 | Multicultural Counseling Center, LLC | Social Worker | 880 E 9400 S, Suite 202, Sandy, UT 84094-3667 | 2015-03-31 |
| 1508257593 | Karla Aguila-arroyo | Counselor | 880 E 9400 S, Suite 202, Sandy, UT 84094-3667 | 2015-02-11 |
| 1437402088 | Barclay F Bigelow Md PC | Internal Medicine | 880 E 9400 S, Suite 105, Sandy, UT 84094-3667 | 2012-10-19 |
| 1003144221 | Vernon K. Liu Md PC | Clinic/Center | 880 E 9400 S, Suite 102, Sandy, UT 84094-3667 | 2009-11-29 |
| 1811221260 | Bryan Christopher Horne | Pharmacist | 880 E 9400 S, Sandy, UT 84094 | 2009-10-01 |
| 1093906299 | Christopher Michael Duncan | Chiropractor | 880 E 9400 S, Ste 104, Sandy, UT 84094-3667 | 2007-08-05 |
| 1679624225 | Robert Lee Youngblood I | Plastic Surgery | 880 E 9400 S, Suite 111, Sandy, UT 84094-3667 | 2007-01-12 |
| 1639100803 | Apothecary Shop of Sandy Inc | Pharmacy | 880 E 9400 S, Ste 118, Sandy, UT 84094-3667 | 2006-07-06 |
| 1588617542 | Barclay Fiske Bigelow | Internal Medicine | 880 E 9400 S, Suite 105, Sandy, UT 84094-3675 | 2006-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649754508 | Hollie J Wharton | Advanced Practice Midwife | 9450 S. 1300 E., Sandy, UT 84094 | 2018-09-18 |
| 1417306804 | Sarah Scheibe | Counselor | 1123 E Tulane Cir, Sandy, UT 84094 | 2016-06-07 |
| 1457771313 | Zhenhao Liu | Internal Medicine | 11333 S 1000 E Ste 100, Sandy, UT 84094 | 2014-04-18 |
| 1770919714 | Bojan Jurosevic | Physical Therapist | 7940 South 1300 East, Sandy, UT 84094 | 2013-09-23 |
| 1104259464 | Ryan Blick | Marriage & Family Therapist | 833 East 9400 South, Sandy, UT 84094 | 2013-08-09 |
| 1780027821 | Lauren Coyle | Obstetrics & Gynecology | 9600 S 1300 E Ste 308, Sandy, UT 84094 | 2013-04-08 |
| 1285971697 | Robert W Later Md PC | Specialist | 9600 S 1300 E Suite 302, Sandy, UT 84094 | 2013-01-07 |
| 1306149679 | Premier Home Health, LLC | Home Health | 978 Larkspur Dr, Sandy, UT 84094 | 2010-12-08 |
| 1760704753 | Altaview Hospital | General Acute Care Hospital | 9660 South 13th East, Sandy, UT 84094 | 2010-02-18 |
| 1750518676 | Julie Christensen | Social Worker | 833 E 9400 S, Sandy, UT 84094 | 2009-06-18 |
| Find all providers in zip 84094 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326057258 | University of Utah Plastic Surgery Associates | Plastic Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-08-07 |
| 1346217882 | Larry A Sargent | Plastic Surgery | 620 Medical Dr, Suite 310, Bountiful, UT 84010-5084 | 2006-03-03 |
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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.