MR. DEREK YOUNGBERG


Address: 3100 Airport Way S Unit 85, Seattle, WA 98134-2133
Phone: 5412803142

MR. DEREK YOUNGBERG (NPI# 1316476575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316476575
Entity Type Individual
Full Name MR. DEREK YOUNGBERG
Practice Address 3100 Airport Way S Unit 85
Seattle
WA 98134-2133
Practice Telephone 5412803142
Enumeration Date 2017-06-09
Last Update Date 2017-06-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
ART MEDICAL 1164791992 01

Office Location

Street Address 3100 AIRPORT WAY S UNIT 85
City SEATTLE
State WA
Zip Code 98134-2133

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NPI Name Taxonomy Address Enumeration
1700491925 Mizu Massage Seattle LLC Massage Therapist 3250 Airportway South, 740, Seattle, WA 98134 2020-09-14
1861907008 Norman Fuller Counselor 1700 Airport Way S., Seattle, WA 98134 2017-12-11
1447794391 Ruth Aaronson Specialist 4636 E. Marginal Way, Seattle, WA 98134 2016-12-12
1811399223 Alexandra Zigman Physical Therapist 2245 3rd Avenue South, Seattle, WA 98134 2014-09-17
1427467257 Soar Academies Local Education Agency (LEA) 210 S Hudson, Seattle, WA 98134 2014-08-06
1730514449 Vanessa G Schmidt Counselor 2133 3rd Avenue, Ets Reach, Seattle, WA 98134 2013-09-12
1932544152 Anne Vickars Heidbrink Registered Nurse 3rd Ave South, Seattle School District, Seattle, WA 98134 2013-05-01
1003156324 West Coast Behavioral Consultants Inc Dba Blueprints Behavioral Analyst 910 S. Horton St., Unit 703, Seattle, WA 98134 2013-02-22
1306194998 George Butchko Pharmacist 4401 Fourth Ave S, Seattle, WA 98134 2012-08-29
1134438849 Tzu S Chiang Obstetrics & Gynecology 4735 E. Marginal Way South, Seattle, WA 98134 2010-09-29
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417481797 Washington Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 4313 University Way Ne, Seattle, WA 98105 2017-04-13
1083155329 Seatle Medical Supplies Durable Medical Equipment & Medical Supplies 800 Fifth Avenue, Seafirst Fifth Avenue Plaza, Suite 4100, Seattle, WA 98104 2017-03-20
1902347875 Washington Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 2438 32nd Ave W, Seattle, WA 98199-3202 2017-03-13
1952847717 Washington Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 2035 4th Ave, Seattle, WA 98121-2414 2017-01-17
1073062600 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 3639 Martin Luther King Jr Way S Ste P1, Seattle, WA 98144-6847 2016-09-23
1710334552 Emeka Titus Okoye Durable Medical Equipment & Medical Supplies 4529 S. Henderson Street, #7, Seattle, WA 98118 2016-05-23
1437511151 Medsheet Ltd Durable Medical Equipment & Medical Supplies 3225 44th Ave Sw, Seattle, WA 98116-3324 2016-03-22
1891173985 Washington Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 2100 N 45th St, Seattle, WA 98103-6902 2015-05-11
1467855346 Kp Pharmacy & Medical Supplies LLC Durable Medical Equipment & Medical Supplies 7101 Martin Luther King Jr Way S Ste 101b, Seattle, WA 98118-3591 2014-10-06
1215338702 A2 Medical Supply Durable Medical Equipment & Medical Supplies 3241 34th Ave W, Seattle, WA 98199-2614 2014-09-15
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Competitor

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City SEATTLE
Zip Code 98134

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Dataset Information

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.

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