DR. LYLE YOUNG (NPI# 1194979427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194979427 |
| Entity Type | Individual |
| Full Name | DR. LYLE YOUNG |
| Credential | MD |
| Practice Address |
1255 W Rio Salado Pkwy Ste 107 Tempe AZ 85281-2892 |
| Practice Telephone | 4809620071 |
| Practice Fax Number | 4809620590 |
| Mailing Telephone | 4809620071 |
| Mailing Fax Number | 4809620590 |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2019-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
47545 | AZ | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
068125 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1255 W RIO SALADO PKWY STE 107 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85281-2892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700854296 | Jason C Datta | Orthopaedic Surgery | 1255 W Rio Salado Pkwy Ste 107, Tempe, AZ 85281-2892 | 2006-03-09 |
| 1538410071 | Mara Danielle Immediato | Physician Assistant | 1255 W Rio Salado Pkwy Ste 107, Tempe, AZ 85281-2892 | 2012-09-24 |
| 1962707869 | Bryce A Hilmo | Physician Assistant | 1255 W Rio Salado Pkwy Ste 107, Tempe, AZ 85281 | 2011-01-24 |
| 1184876492 | Vanessa Rene Lo | Physician Assistant | 1255 W Rio Salado Pkwy Ste 107, Tempe, AZ 85281-2892 | 2008-10-17 |
| 1871769976 | Sonoran Physical Therapy | Clinic/Center | 1255 W Rio Salado Pkwy Ste 107, Tempe, AZ 85281-2892 | 2008-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807052 | Thomas Langer | Specialist/Technologist | 1317 S Terrace Rd, Box #156, Tempe, AZ 85281 | 2020-10-02 |
| 1073124525 | Cinthia Guadalupe Arredondo Paramo | Nurse Practitioner | 1840 W. Broadway Rd., Tempe, AZ 85281 | 2020-08-10 |
| 1780219451 | Margaret Corbett | Specialist/Technologist | 500 East Veterans Way, Tempe, AZ 85281 | 2020-03-03 |
| 1457990913 | Renee Marie Rundle | Nurse Practitioner | 1750 E. University, Tempe, AZ 85281 | 2020-01-02 |
| 1265904932 | Halah Alateeq | Speech-Language Pathologist | Asu Speech & Hearing Clinic 975 S Myrtle Ave, Tempe, AZ 85281 | 2018-12-19 |
| 1962980961 | Calvin Wah Ngo | Dentist | 555 N. College Avenue, Apr 4018, Tempe, AZ 85281 | 2018-08-01 |
| 1922501840 | Sydney Blankenship | Physical Therapist | 260 E Rio Salado Pkwy, Apt 2045, Tempe, AZ 85281 | 2018-03-16 |
| 1609376698 | Agnes' Centers for Domestic Solutions | Community/Behavioral Health | 455 S 48th Street, 106, Tempe, AZ 85281 | 2018-02-15 |
| 1053826636 | Marta Solano | Nurse Practitioner | 415 S 48th St Ste 107, Tempe, AZ 85281 | 2017-12-05 |
| 1578085551 | Invitro Genetics Arizona | Clinical Medical Laboratory | 437 S. 48th Street, Suite 106, Tempe, AZ 85281 | 2017-07-12 |
| Find all providers in zip 85281 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609168442 | Arizona Spine Center, P.a. | Orthopaedic Surgery | 2155 E Conference Dr Ste 111, Tempe, AZ 85284-2604 | 2011-05-12 |
| 1013975333 | Sonoran Spine Center P.C. | Orthopaedic Surgery | 1255 W Rio Salado Pkwy Ste 105, Tempe, AZ 85281-2892 | 2006-05-03 |
| 1700854296 | Jason C Datta | Orthopaedic Surgery | 1255 W Rio Salado Pkwy Ste 107, Tempe, AZ 85281-2892 | 2006-03-09 |
| 1073569182 | East Valley Orthopedic and Spine Assoc | Orthopaedic Surgery | 1492 S Mill Ave, 1492 S Mill Ave #212, Tempe, AZ 85281-5652 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891293148 | Joint Replacement Cin of Tucson LLC | Orthopaedic Surgery | 5151 E Broadway Blvd Ste 1600b, Tucson, AZ 85711-3777 | 2018-01-31 |
| 1407354756 | Spine Cin of Tucson LLC | Orthopaedic Surgery | 5151 E Broadway Blvd Ste 1600c, Tucson, AZ 85711-3777 | 2018-01-31 |
| 1508364852 | Spine Cin of Phoenix LLC | Orthopaedic Surgery | 2155 W Pinnacle Peak Rd Ste 201a, Phoenix, AZ 85027-1201 | 2018-01-31 |
| 1447758792 | Joint Replacement Cin of Phoenix LLC | Orthopaedic Surgery | 2155 W Pinnacle Peak Rd Ste 201b, Phoenix, AZ 85027-1201 | 2018-01-31 |
| 1144748468 | Emergency Spine, PC | Orthopaedic Surgery | 3101 E Shea Blvd Ste 114, Phoenix, AZ 85028-3209 | 2017-09-07 |
| 1619311446 | Desert Spine Center A Professional Corporation | Orthopaedic Surgery | 2281 W 24th St Ste 5, Yuma, AZ 85364-6197 | 2013-04-23 |
| 1588846851 | Phoenix Spine Consultants Pllc | Orthopaedic Surgery | 19841 N 27th Ave Ste 300a, Phoenix, AZ 85027-4012 | 2007-11-28 |
| 1093903023 | Katherine S Looby | Orthopaedic Surgery | 1432 S. Dobson Rd, Suite 201, Mesa, AZ 85020 | 2007-10-03 |
| 1154522910 | Michael S Chang | Orthopaedic Surgery | 1462 S. Dobson Road, Suite 201, Mesa, AZ 85202 | 2007-05-30 |
| 1922104116 | Howard H Ginsburg | Orthopaedic Surgery | 222 West Thomas Road, #307, Phoenix, AZ 85013-4422 | 2006-09-15 |
| 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.