AMANDA S. YOUNG (NPI# 1073690426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073690426 |
| Entity Type | Individual |
| Full Name | AMANDA S. YOUNG |
| Credential | MD |
| Practice Address |
115 Porter Drive Middlebury VT 05753 |
| Mailing Address |
37 Porter Drive Middlebury VT 05753 |
| Practice Telephone | 8023885607 |
| Practice Fax Number | 8023885654 |
| Mailing Telephone | 8023884705 |
| Mailing Fax Number | 8023885696 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 042-0011551 | VT | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 017053 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1015136 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083241673 | Amanda Lee Young | Nurse Practitioner | 150 Highway 1185, Louisa, KY 41230-7948 | 2020-03-24 |
| 1588164891 | Amanda Young | Home Health | 606 Broad St Ste F, South Boston, VA 24592-3200 | 2018-02-14 |
| 1073919619 | Amanda Young | Nurse Anesthetist, Certified Registered | 222 22nd Ave N Ste 300, Nashville, TN 37203-0802 | 2014-11-10 |
| 1407163314 | Amanda F Young | Contractor | 8335 Morning Glory Rd N, Jacksonville, FL 32210-4588 | 2010-09-13 |
| 1164029161 | Amanda Young | Behavior Technician | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2020-10-03 |
| 1225697584 | Amanda Young | Registered Nurse | 423 N 21st St Ste 100, Camp Hill, PA 17011-2207 | 2019-06-11 |
| 1386200590 | Amanda Bieber Young | Occupational Therapist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2019-05-13 |
| 1336603935 | Amanda Nicole Young | Developmental Therapist | 9426 Lima Rd, Fort Wayne, IN 46818-8680 | 2019-01-28 |
| 1538632450 | Amanda Young | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2019-01-03 |
| 1700355906 | Amanda Charlene Young | Counselor | 505 E North Foothills Dr, Spokane, WA 99207-2101 | 2018-11-16 |
| Street Address |
115 PORTER DRIVE |
| City | MIDDLEBURY |
| State | VT |
| Zip Code | 05753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740291400 | Porter Hospital Inc | General Acute Care Hospital | 115 Porter Drive, Middlebury, VT 05753 | 2006-08-10 |
| 1619243110 | Elya Horattas Vasiliou | Surgery | 115 Porter Drive, Middlebury, VT 05753-1619 | 2012-03-29 |
| 1750426631 | Eric Christopher Berg | Nurse Anesthetist, Certified Registered | 115 Porter Drive, Middlebury, VT 05753 | 2007-02-20 |
| 1700922010 | Robert E Tillson | Nurse Anesthetist, Certified Registered | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2007-01-30 |
| 1265578777 | Porter Hospital Inc | Medicare Defined Swing Bed Unit | 115 Porter Drive, Middlebury, VT 05753 | 2007-01-30 |
| 1023180445 | Jessica H Wagener | Emergency Medicine | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2006-11-14 |
| 1770662322 | Deborah G Norris | Nurse Anesthetist, Certified Registered | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2006-11-03 |
| 1780770511 | Porter Hospital Inc | Clinic/Center | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2006-10-05 |
| 1154413615 | Glen R Lovejoy | Emergency Medicine | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2006-09-29 |
| 1396837860 | Kathryn D Clark | Dietitian, Registered | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2006-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760997233 | Julia M. Pipiras | Massage Therapist | 99 Maple St., Marble Works, Middlebury, VT 05753 | 2017-12-06 |
| 1487017117 | Hope W Martin | Counselor | 135 South Pleasant St., Middlebury, VT 05753 | 2016-03-31 |
| 1487052593 | Ania Mortier | Nurse Practitioner | 102 A Court St, Middlebury, VT 05753 | 2014-12-06 |
| 1427471655 | Nancy Spears | Counselor | 7 Seymour St Ste 4, Middlebury, VT 05753 | 2014-01-23 |
| 1679862676 | Daly Dental | Dentist | 152 Maple Street, Suite 201, Middlebury, VT 05753 | 2011-03-31 |
| 1033432695 | James G Daly D.d.s. | Dentist | 152 Maple St., Ste. 201, Middlebury, VT 05753 | 2010-03-10 |
| 1497986855 | Maxine Elizabeth Fidler | Acupuncturist | 31 Court Street, Middlebury, VT 05753 | 2009-08-04 |
| 1629289426 | Gary Francis Margolis | Psychologist | 302 Centeno House Route 30, Middlebury, VT 05753 | 2007-05-24 |
| 1578697884 | Elise Marie Mcclintock | Nurse Practitioner | 5110 Middlebury College, Middlebury, VT 05753 | 2007-03-16 |
| 1982735890 | Adam Brightman | Social Worker | 1740 Delong Road, Cornwall, VT 05753 | 2007-03-09 |
| Find all providers in zip 05753 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043210180 | Dawn M Detwiler Berger | Emergency Medicine | 54938 State Road 13, Middlebury, IN 46540-8608 | 2005-07-29 |
| 1023180445 | Jessica H Wagener | Emergency Medicine | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2006-11-14 |
| 1063592210 | Robert D Pitts | Emergency Medicine | 115 Porter Dr, Porter Hospital, Middlebury, VT 05753 | 2006-10-16 |
| 1154413615 | Glen R Lovejoy | Emergency Medicine | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2006-09-29 |
| 1164528584 | William J Nowlan | Emergency Medicine | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2006-09-15 |
| 1821192089 | Jessica S Racusin | Emergency Medicine | 115 Porter Dr, Porter Hospital, Middlebury, VT 05753 | 2006-09-11 |
| 1548364730 | Thomas W Yurista | Emergency Medicine | 115 Porter Dr, Porter Hospital, Middlebury, VT 05753 | 2006-09-11 |
| 1982708178 | Geoffrey R Knisely | Emergency Medicine | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2006-09-11 |
| 1295839454 | Michael J Kiernan | Emergency Medicine | 115 Porter Dr, Porter Hospital, Middlebury, VT 05753 | 2006-09-11 |
| 1184728461 | Fred W Kniffin | Emergency Medicine | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2006-09-08 |
| Find all providers in MIDDLEBURY | ||||
| City | MIDDLEBURY |
| Zip Code | 05753 |
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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.