DR. JOHN ROBERT YOUNG (NPI# 1407176688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407176688 |
| Entity Type | Individual |
| Full Name | DR. JOHN ROBERT YOUNG |
| Credential | MD |
| Practice Address |
1401 S Beretania St Ste 400 Honolulu HI 96814-1872 |
| Mailing Address |
250 Kawaihae St Apt 10b Honolulu HI 96825-1929 |
| Practice Telephone | 8082065301 |
| Practice Fax Number | 8082003785 |
| Mailing Telephone | 8088664066 |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 9410599-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 27840 | OK | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD 18202 | HI | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD167934 | OR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2065 Main St, Wailuku, HI 967931693 | 8082065301 | 8082003785 |
| 94-216 Farrington Hwy, Waipahu, HI 967971922 | 8082065301 | 8082003785 |
| 96 E Kimballs Ln, Draper, UT 840205020 | 8012339300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073175600 | John F Young | Nurse Practitioner | 301 E Main St # Pst, Bay Shore, NY 11706-8408 | 2019-07-03 |
| 1396179818 | John William Young Jr. | Psychologist | 20 Administration Road, Bridgewater State Hospital- Forensic Services, Bridgewater, MA 02034 | 2013-09-03 |
| 1114218963 | John Isaac Young | Surgery | 601 S Floyd St Ste 220, Louisville, KY 40202-1835 | 2011-04-28 |
| 1629208558 | John Burton Young Jr. | Otolaryngology | 2787 Itasca Ave., St. Mary's Pt., MN 55043-0325 | 2009-07-27 |
| 1386887297 | John Scott Young | Counselor | 1506 Wenchelsa Rd, Greensboro, NC 27410-3521 | 2009-04-08 |
| 1790927929 | John Gerald Young | Psychiatry & Neurology | 16 1/2 East 74th St., New York, NY 10021 | 2009-04-02 |
| 1497936215 | John Clayton Young | Optometrist | 232 Crafton Ingram Shp Ctr, Crafton, PA 15205-2353 | 2007-11-20 |
| 1871710376 | John R. Young | Dentist | 272 Centre Ave, Rockland, MA 02370-2610 | 2007-04-19 |
| 1184849960 | John Lafayette Young | Counselor | 3527 Rolling Rd, Suite 23, Windsor Mill, MD 21244-2073 | 2007-04-16 |
| 1689704389 | John E Young | Personal Emergency Response Attendant | 23281 Mosher Rd, Carthage, NY 13619-8550 | 2007-03-06 |
| Street Address |
1401 S BERETANIA ST STE 400 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96814-1872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184260994 | Jeffrey Viernes | Clinical Nurse Specialist | 1401 S Beretania St Ste 400, Honolulu, HI 96814-1872 | 2019-11-27 |
| 1497117162 | Jennifer Lynn Wilson | Nurse Practitioner | 1401 S Beretania St Ste 400, Honolulu, HI 96814-1872 | 2016-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746478 | Ross Thomas Fujimori Pascual | Pharmacist | 750 Keeaumoku Street, Honolulu, HI 96814 | 2020-10-01 |
| 1336755263 | Hawaikikitelehealth LLC | Counselor | 1108 Auwahi Street, 1506, Honolulu, HI 96814 | 2020-09-16 |
| 1225647324 | Metaphysio Hawaii LLC | Physical Therapist | 1350 South King Street Suite 303, Honolulu, HI 96814 | 2020-07-24 |
| 1114572161 | Alyssa Foster | Social Worker | 1314 S King St Ste 1152, Honolulu, HI 96814 | 2019-08-07 |
| 1871157628 | Ala Moana Walk-in Medical Clinic, Inc | Nurse Practitioner | 410 Atkinson Dr., Level 3, Honolulu, HI 96814 | 2019-04-26 |
| 1528524014 | Regenerative Living Private Duty Inc | Home Health Aide | 1314 South King Street Ste 853, Honolulu, HI 96814 | 2019-02-20 |
| 1295299428 | Kaori Utashiro | Massage Therapist | 1450 Ala Moana Blvd. Suite1227, Honolulu, HI 96814 | 2019-01-22 |
| 1619444569 | Optimized Health LLC | General Practice | 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 | 2018-10-30 |
| 1356823785 | Tara Yamauchi-lum LLC | Marriage & Family Therapist | 615 Piikoi Street Suite 1109, Honolulu, HI 96814 | 2018-09-01 |
| 1992283980 | Sonia Q. Cosio, D.d.s | Dentist | 1441 Kapiolani Blvd #518, Honolulu, HI 96814 | 2018-08-01 |
| Find all providers in zip 96814 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700044815 | Jeffrey Loh | Anesthesiology | 550 S Beretania St Ste 703, Honolulu, HI 96813-2496 | 2008-05-26 |
| 1457418386 | Jeffrey Sze-chung Wang | Anesthesiology | 500 Ala Moana Blvd Ste 1-302, Honolulu, HI 96813-4920 | 2007-01-02 |
| 1558311498 | Louis Jk Pau | Anesthesiology | 2228 Liliha Street, Suite #307, Honolulu, HI 96817-1653 | 2006-05-11 |
| 1982024923 | Oac Clinics Hawaii LLC | Anesthesiology | 1585 Kapiolani Blvd, Suite 1800, Honolulu, HI 96814-4500 | 2014-04-17 |
| 1417191784 | Hawaii Pain Specialists, LLC | Anesthesiology | 1329 Lusitana Street, Suite 102, Honolulu, HI 96813-2461 | 2009-04-29 |
| 1912057100 | Honolulu Pain Management Clinic, L.L.C. | Anesthesiology | 500 Ala Moana Blvd Ste 1-302, Honolulu, HI 96813-4920 | 2007-01-11 |
| 1063467207 | Young Cha Park | Anesthesiology | 1481 S King St, #422, Honolulu, HI 96814-2601 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700058559 | Dawn Allison Sparks | Anesthesiology | 4366 Kukui Grove St Ste 202, Lihue, HI 96766 | 2008-04-01 |
| 1205334141 | Lighthouse Healing LLC | Anesthesiology | 4366 Kukui Grove St Ste 202, Lihue, HI 96766 | 2018-01-25 |
| 1407109085 | Mf Med Inc | Anesthesiology | 53 S Puunene Ave, Suite 101, Kahului, HI 96732-2192 | 2012-10-19 |
Please comment or provide details below to improve the information on DR. JOHN ROBERT YOUNG.
| 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.