DR. GREGORY L YOUNG (NPI# 1376513663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376513663 |
| Entity Type | Individual |
| Full Name | DR. GREGORY L YOUNG |
| Credential | MD |
| Practice Address |
403 Stageline Rd Hudson WI 54016-7899 |
| Practice Telephone | 7155316800 |
| Practice Fax Number | 7155316801 |
| Mailing Telephone | 7155316800 |
| Mailing Fax Number | 7155316801 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2009-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 44877 | MN | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 41532 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32581300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760933519 | Gregory Young Sr. | Contractor | 1710 Lamar Ave, Waycross, GA 31503-5852 | 2016-10-17 |
| 1063781870 | Gregory Walter Young | Psychiatry & Neurology | 6512 Laguna Park Dr, Elk Grove, CA 95758-4856 | 2011-12-22 |
| 1326231382 | Gregory Antonio Young Sr. | Social Worker | 3308 Lehigh Dr, Little Rock, AR 72204-9101 | 2007-08-23 |
| 1306994066 | Gregory Douglas Young | Chiropractor | 200 Se 1st St, Andrews, TX 79714-7115 | 2007-01-08 |
| 1689739005 | Gregory J Young | Optometrist | 7300 Dodge St Ste 139, Omaha, NE 68114-3603 | 2006-12-26 |
| 1215991294 | Gregory E Young | Emergency Medicine | 8590 Phillips Rd, Holland, NY 14080-9665 | 2006-04-14 |
| 1689676009 | Gregory Girard Young | Podiatrist | 1919 S 16th St, Wilmington, NC 28401-6610 | 2005-08-15 |
| 1932748985 | Gregory Davis Young | Physical Therapist | 6383 E Girard Pl, Denver, CO 80222-7447 | 2019-12-21 |
| 1922644137 | Gregory L Young | Specialist/Technologist, Other | 800 N 1st St, Springfield, IL 62702-3719 | 2019-11-22 |
| 1437656535 | Gregory Allen Young | Behavior Technician | 1411 Princess Anne Street, Fredericksburg, VA 22401 | 2018-04-06 |
| Street Address |
403 STAGELINE RD |
| City | HUDSON |
| State | WI |
| Zip Code | 54016-7899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528064227 | Melanie L Berg | Podiatrist | 403 Stageline Rd, Hudson, WI 54016-7848 | 2005-06-27 |
| 1437700242 | Stephanie Marie Reneau | Nurse Practitioner | 403 Stageline Rd, Hudson, WI 54016-1789 | 2019-09-23 |
| 1912562612 | Taylor Ann Mueller | Nurse Practitioner | 403 Stageline Rd, Hudson, WI 54016-1789 | 2019-05-08 |
| 1770051062 | Pamela Stoutenburg | Registered Nurse | 403 Stageline Rd, Hudson, WI 54016-1789 | 2018-11-05 |
| 1326592502 | Laura Beeson | Nurse Practitioner | 403 Stageline Rd, Hudson, WI 54016-1789 | 2016-08-05 |
| 1700262938 | Cassidy Sea Mcglothlen | Nurse Practitioner | 403 Stageline Rd, Hudson, WI 54016-7848 | 2015-08-11 |
| 1346624319 | Jessica Blackford | Nurse Practitioner | 403 Stageline Rd, Hudson, WI 54016-7848 | 2015-07-19 |
| 1932513173 | Sarah Burke | Pediatrics | 403 Stageline Rd, Hudson, WI 54016-1789 | 2014-06-16 |
| 1720404890 | Robyn Cox | Advanced Practice Midwife | 403 Stageline Rd, Hudson, WI 54016-7848 | 2014-03-12 |
| 1467876433 | Ann Marie Crump | Advanced Practice Midwife | 403 Stageline Rd, Hudson, WI 54016-7848 | 2014-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164921128 | Sara Lynn Henry | Occupational Therapy Assistant | 1320 Wisconsin St., Husdon, WI 54016 | 2018-02-06 |
| 1689003436 | Serving Hands Inc | Home Health | 1419 Boulder Court, Hudson, WI 54016 | 2013-11-02 |
| 1275973042 | Lisa Renee Haverly | Occupational Therapist | 477 Perch Lake Rd, Hudson, WI 54016 | 2013-06-26 |
| 1710320213 | Emily Ann Stevenson | Counselor | 901 4th St Ste 165, Hudson, WI 54016 | 2013-04-15 |
| 1083972954 | The Shurden Group | In Home Supportive Care | 2424 Monetary Blvd. #012, The Shurden Group Dba Comfort Keepers, Hudson, WI 54016 | 2012-04-30 |
| 1124305933 | Robert Michael Catlow-price | Massage Therapist | 131 Carmichael Road, Suite #202, Hudson, WI 54016 | 2011-11-08 |
| 1962780221 | Qin Chu | Acupuncturist | 1615 Maxwell Dr., Suite D, Hudson, WI 54016 | 2011-08-03 |
| 1124324231 | Hung Trieu Lieu | Acupuncturist | 1810 Crest View Dr Ste 4a, Hudson, WI 54016 | 2011-02-07 |
| 1912214966 | Sumac Residential LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 723 B Blue Jay Lane, Hudson, WI 54016 | 2010-09-10 |
| 1740593201 | Michelle Marie Young | Counselor | 2501 Hanley Road, Suite F, Eagle Valley Bank Building, Hudson, WI 54016 | 2010-07-26 |
| Find all providers in zip 54016 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939153 | Rhc Hudson LLC | Family Medicine | 13910 Fivay Rd Ste 1, Hudson, FL 34667-7130 | 2020-10-13 |
| 1104285030 | David Kays | Family Medicine | 270 Pine Mountain Rd Ste 2, Hudson, NC 28638-2600 | 2016-02-20 |
| 1679888994 | Victoria R Alexander | Family Medicine | 5655 Hudson Dr Ste 130, Hudson, OH 44236-4454 | 2010-08-11 |
| 1780919969 | Jennifer L. Laman | Family Medicine | 13235 State Road 52 Ste 102, Hudson, FL 34669 | 2009-10-06 |
| 1619102993 | Vincent Robert Hunt | Family Medicine | 221 Station Cir N, Hudson, WI 54016-9556 | 2009-05-15 |
| 1013133446 | Lora L Council | Family Medicine | 208 Robinson Rd, Hudson, NH 03051-3059 | 2007-04-17 |
| 1124241351 | Fairview Family Practice, P.C. | Family Medicine | 267 Fairview Ave, Hudson, NY 12534-1210 | 2007-04-10 |
| 1497838205 | David J Sassano | Family Medicine | 13911 Lakeshore Blvd Ste 107, Hudson, FL 34667-7102 | 2006-10-23 |
| 1588674329 | Michael G Jaeger | Family Medicine | 125 Harry Howard Ave, Firemens Nursing Home, Hudson, NY 12534-1601 | 2006-08-08 |
| 1770510471 | Jean Ann Jaeger | Family Medicine | 2400 Route 9, Hudson, NY 12534-4725 | 2006-06-27 |
| Find all providers in HUDSON | ||||
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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.