PETER C. YOUNG (NPI# 1043229768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043229768 |
| Entity Type | Individual |
| Full Name | PETER C. YOUNG |
| Credential | MD |
| Practice Address |
1250 Hancock St Quincy MA 02169-4339 |
| Mailing Address |
147 Milk St Provider Enrollment 9th Floor Boston MA 02109-4806 |
| Practice Telephone | 6177740820 |
| Practice Fax Number | 6177740832 |
| Mailing Telephone | 6174212508 |
| Mailing Fax Number | 6174213487 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2011-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 208685 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | NEIGHBORHOOD HEALTH PLAN | 0027527 | 01 |
| MA | HARVARD PILGRIM | 400968 | 01 |
| MA | CIGNA | 2403883-003 | 01 |
| MA | MEDICARE RAILROAD | P00278138 | 01 |
| MA | 0185621 | 05 | |
| MA | TUFTS HEALTH PLAN | 208685 | 01 |
| MA | BLUE CROSS | J23050 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427242064 | Peter Kevin Young | Chiropractor | 9825 Giles Rd, Suite F, Lavista, NE 68128-2926 | 2007-08-28 |
| 1366568370 | Peter P Young Jr. | Dentist | 412 W Colorado St, Suite C, Glendale, CA 91204-3097 | 2007-03-21 |
| 1235153669 | Peter H Young | Physical Therapist | 3970 Harlem Rd, Amherst, NY 14226 | 2006-07-27 |
| 1326090770 | Peter Bernhart Young | Clinical Neuropsychologist | 10820 Kingston Pike, Suite 21, Knoxville, TN 37934-3066 | 2006-05-16 |
| 1700835287 | Peter Young | Physical Therapist | 316 E Las Tunas Dr Ste 205, San Gabriel, CA 91776-1535 | 2006-05-10 |
| 1376543108 | Peter S Young | Internal Medicine | 10815 W Mcdowell Rd Ste 305, Avondale, AZ 85392-5016 | 2005-07-22 |
| 1679109524 | Peter S Young | Social Worker | 16565 Ne 4th Ave, Miami, FL 33162-3511 | 2020-03-22 |
| 1235690207 | Peter Young | Radiology | 300 University Blvd, Galveston, TX 77555-3055 | 2019-03-30 |
| 1295207363 | Peter Ashton Young | Dermatology | 40 Four Mile Dr Ste 7, Kalispell, MT 59901-2655 | 2018-12-29 |
| 1043743461 | Peter Young | Student in an Organized Health Care Education/Training Program | 177 Fort Washington Ave, Internal Medicine Residency Office, Floor 6, Center 12, New York, NY 10032-3733 | 2017-04-04 |
| Street Address |
1250 HANCOCK ST |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-4339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683276 | Mirza Baig | Internal Medicine | 1250 Hancock St, Quincy, MA 02169-4339 | 2005-07-18 |
| 1881241925 | Laura Jarvi | Nurse Practitioner | 1250 Hancock St, Quincy, MA 02169-4339 | 2019-08-22 |
| 1700320686 | Jillian Fiori | Speech-Language Pathologist | 1250 Hancock St, Quincy, MA 02169-4339 | 2016-12-12 |
| 1740734623 | Megan Flicker | Registered Nurse | 1250 Hancock St, Quincy, MA 02169-4339 | 2016-08-09 |
| 1790135556 | Jennie Krasker | Obstetrics & Gynecology | 1250 Hancock St, Quincy, MA 02169-4339 | 2016-06-13 |
| 1104206861 | Juan Qu | Optometrist | 1250 Hancock St, Quincy, MA 02169 | 2015-06-08 |
| 1568877447 | Dermcare Experts LLC | Dermatology | 1250 Hancock St, Suite 505s, Quincy, MA 02169-4339 | 2014-06-30 |
| 1104266154 | Aviva S. Wilcox | Psychologist | 1250 Hancock St, Harvard Vanguard Medical Associates - Behavioral Health, Quincy, MA 02169-4339 | 2013-07-03 |
| 1659636496 | William Eugene Fitzgerald | Counselor | 1250 Hancock St, Quincy, MA 02169-4339 | 2012-07-09 |
| 1467713602 | Erica Thrower | Counselor | 1250 Hancock St, Quincy, MA 02169-4339 | 2012-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801048921 | Katie Brouillard O'brien | Dermatology | 36 Adams Street, Quincy, MA 02169 | 2008-10-21 |
| 1942406210 | Associates of South Shore Dermatology | Dermatology | 5oo Congress St, 2h, Quincy, MA 02169 | 2007-06-25 |
| 1013122167 | William J. Hanshaw, M.d., P.C. | Dermatology | 903 Vermont St, Quincy, IL 62301-3049 | 2007-05-11 |
| 1629003686 | Elise Bilodeau Mccarthy | Dermatology | 36 Adams St, Quincy, MA 02169-2002 | 2006-07-11 |
| 1902870876 | William J Hanshaw | Dermatology | 903 Vermont Street, Quincy, IL 62301 | 2006-02-15 |
| 1750862611 | Sara Balakrishnan | Dermatology | 36 Adams St, Quincy, MA 02169-2002 | 2018-08-28 |
| 1467932251 | Integrated Dermatology of Massachusetts, LLC | Dermatology | 500 Congress St Ste B1, Quincy, MA 02169-0917 | 2018-08-21 |
| 1477937480 | Dermasap Pllc | Dermatology | 500 Congress St, B1, Quincy, MA 02169-0908 | 2015-07-20 |
| 1962899534 | Associates of South Shore Dermatology LLC | Dermatology | 300 Congress St, Ste 408, Quincy, MA 02169-0907 | 2015-04-22 |
| 1558756759 | Atrius Health, Inc. | Dermatology | 500 Congress St, Suite 3c, Quincy, MA 02169-0908 | 2015-04-03 |
| Find all providers in QUINCY | ||||
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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.