DR. MICHAEL CLARENCE YOUNG (NPI# 1124026836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124026836 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL CLARENCE YOUNG |
| Credential | M.D. |
| Practice Address |
301 Hale Ave Prescott AR 71857-3330 |
| Practice Telephone | 8708876651 |
| Practice Fax Number | 8708872008 |
| Mailing Telephone | 8708876651 |
| Mailing Fax Number | 8708872008 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2009-10-08 |
| NPI Deactivation Date | 03/15/2006 |
| NPI Reactivation Date | 2006-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
C4873 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 1124026836 | 05 | |
| AR | QUAL CHOICE | 127720000 | 01 |
| AR | GBA RAILROAD | 080043829 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477029254 | Michael Young | Case Manager/Care Coordinator | 1541 E 191st St Apt 141, Euclid, OH 44117-1335 | 2018-10-18 |
| 1346722378 | Michael Bernard Young | Respiratory Therapist, Registered | 2204 E Panama Drive, Centennial, CO 80121 | 2018-09-06 |
| 1073962676 | Michael Young | Physician Assistant | 1791 Route 23b, Leeds, NY 12451-1546 | 2016-06-06 |
| 1013361534 | Michael L Young | Chiropractor | 2530 Sir Barton Way Ste 125, Lexington, KY 40509-2275 | 2016-04-21 |
| 1992054019 | Michael Roy Young | Physical Therapist | 9010 Blaine St, Joint Base Lewis Mcchord, WA 98433-1219 | 2012-09-05 |
| 1932434016 | Michael C. Young | Optometrist | 1542 Golf Course Rd Ste 201, Grand Rapids, MN 55744-3537 | 2009-10-07 |
| 1083835391 | Michael Lloyd Young | Dentist | 39242 Dequindre Rd, Suite 106, Sterling Heights, MI 48310-4831 | 2007-05-02 |
| 1609093632 | Michael Young | Radiology | St Johns Hospital, 800 East Carpenter St., Springfield, IL 62769-0001 | 2007-04-19 |
| 1700902822 | Michael Young | Optometrist | 12424 W Dodge Rd Ste 104, Omaha, NE 68154-2322 | 2007-03-21 |
| 1831235167 | Michael Wayne Young | Dentist | 3195 S Main St Ste 225, South Salt Lake, UT 84115-3799 | 2007-01-30 |
| Street Address |
301 HALE AVE |
| City | PRESCOTT |
| State | AR |
| Zip Code | 71857-3330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831150747 | Prescott Family Clinic P A | Clinic/Center | 301 Hale Ave, Prescott, AR 71857-3330 | 2006-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598915514 | Southwest Arkansas Counseling and Mental Health Center, Inc | Community/Behavioral Health | 1658 Highway 371 West, Prescott, AR 71857 | 2008-09-26 |
| 1366607897 | Texarkana Behavioral Associates | Clinic/Center | 1484 West 1st Street, North, Prescott, AR 71857 | 2008-07-24 |
| 1295949238 | Pnc, Inc. | Day Training, Developmentally Disabled Services | 504 East 4th St North, Prescott, AR 71857 | 2007-05-09 |
| 1659597698 | Charles Vermont, M.d., Pllc | Family Medicine | 1480 West First North, Prescott, AR 71857 | 2007-04-18 |
| 1255464699 | Donisha Lafae Samuels | Case Manager/Care Coordinator | 1658 Hwy 371 W, Prescott, AR 71857 | 2007-03-14 |
| 1699856278 | Audie M Teague O D P A | Optometrist | 204 E 2nd Sreet S, Prescott, AR 71857 | 2006-10-18 |
| 1154411379 | Michele Rhodes | Nurse Practitioner | 1501 West First Street, Ark Department of Health and Human Services, Prescott, AR 71857 | 2006-10-16 |
| 1821185091 | Audie M. Teague | Optometrist | 204 E 2nd Street S, Prescott, AR 71857 | 2006-10-06 |
| 1760402804 | Mary Lou Kaufman | Licensed Practical Nurse | 1658 Hyw 371 West, Prescott, AR 71857 | 2006-07-20 |
| 1073532388 | Cindie Dianne Mckamie | Registered Nurse | 1658 Hwy 371 West, Prescott, AR 71857 | 2006-07-18 |
| Find all providers in zip 71857 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457314601 | Marc A Bauder | Family Medicine | 1000 Willow Creek Rd, Suite G, Prescott, AZ 86301-1645 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505890 | Sama Physician Services Pllc | Family Medicine | 600 S Timberlane Dr # 600, El Dorado, AR 71730-6990 | 2019-12-17 |
| 1316307531 | Simmons Geriatric Medicine and Long Term Care, Pa | Family Medicine | 16 Deauville Cir, Little Rock, AR 72223-5532 | 2016-03-01 |
| 1922386069 | Curtis Basil Clark | Family Medicine | 1512 West Center Street, Sheridan, AR 72150-0417 | 2011-07-22 |
| 1487704524 | Kimberly Dawn Burner | Family Medicine | 16723 Highway 62, Garfield, AR 72732-7007 | 2007-01-11 |
| 1225128796 | Kenneth Morgan Sauer | Family Medicine | 823 N Arthur St, Little Rock, AR 72205-2901 | 2006-10-13 |
| 1427164631 | Mohammad Aamir Khan | Family Medicine | 4301 W Markham St # 748, Little Rock, AR 72205-7101 | 2006-08-21 |
| 1366454969 | Rheta Joann Horton Goatcher | Family Medicine | 14300 Chenal Pkwy, Little Rock, AR 72211-5805 | 2006-08-12 |
| 1255345450 | David P Brown | Family Medicine | 1302 Highway 71 N, Mena, AR 71953-8417 | 2006-07-27 |
| 1669436150 | Margaret H Taylor | Family Medicine | 1794 E. Joyce Blvd #2, Fayetteville, AR 72703 | 2006-04-13 |
| 1215938998 | Joseph Dale Sarnicki | Family Medicine | 402 Lee St, Hampton, AR 71744-8937 | 2005-08-03 |
| Find all providers with the same taxonomy | ||||
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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.