KEITH P YOUNG (NPI# 1417939414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417939414 |
| Entity Type | Individual |
| Full Name | KEITH P YOUNG |
| Credential | MD |
| Practice Address |
400 N State of Franklin Rd Rm 2746 Johnson City TN 37604-6035 |
| Practice Telephone | (423) 431-2727 |
| Practice Fax Number | 4234316715 |
| Mailing Telephone | (423) 431-2727 |
| Mailing Fax Number | 4234316715 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2017-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
15563 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS OF AL | 51510627 | 01 |
| AL | 529912020 | 05 | |
| GROUP NPI | 1477599223 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154597110 | Keith Young | Dentist | 5381 N Socrum Loop Rd, Lakeland, FL 33809-4272 | 2008-04-30 |
| 1821125071 | Keith William Young | Psychiatry & Neurology | 10780 Santa Monica Blvd, Suite 250, Los Angeles, CA 90025-4749 | 2007-02-27 |
| 1114087251 | Keith Young | Counselor | 175 Union St Ste C, Bangor, ME 04401-6116 | 2006-12-11 |
| 1295817443 | Keith Leung Young | Dentist | 37070 Newark Blvd, C, Newark, CA 94560-3798 | 2006-10-19 |
| 1629089859 | Keith R Young | Internal Medicine | 500 University Dr, Hershey, PA 17033-2360 | 2006-08-11 |
| 1003854258 | Keith Young | Family Medicine | 205 S Mccrary St, Woodbury, TN 37190-1439 | 2006-06-02 |
| 1346220274 | Keith B Young | Physician Assistant | 112 W Main St, Allegany, NY 14706-1204 | 2006-01-18 |
| Street Address |
400 N STATE OF FRANKLIN RD RM 2746 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902103666 | Amanda Kay Vanlandingham | Internal Medicine | 310 N State of Franklin Rd Ste 303, Johnson City, TN 37604-6051 | 2011-02-16 |
| 1932133626 | Cheryl Fields-ossorio | Internal Medicine | 1113 Southwest Ave, Johnson City, TN 37604-6517 | 2006-07-10 |
| 1295735561 | Michael Chisdak | Internal Medicine | 52 Harrison St, Johnson City, NY 13790-2120 | 2005-07-28 |
| 1841303070 | Southern Tier Pulmonary & Critical Care Medicine LLC | Internal Medicine | 52 Harrison St, Johnson City, NY 13790-2120 | 2006-08-15 |
| 1649201997 | Maria Carmina Garcia | Internal Medicine | 310 N State of Franklin Rd, Suite 303, Johnson City, TN 37604-6008 | 2006-07-05 |
| 1265460034 | Jayant B Mehta | Internal Medicine | 310 N State of Franklin Rd, Suite 303, Johnson City, TN 37604-6008 | 2006-06-29 |
| 1023046737 | Charles Pittman Cole | Internal Medicine | 310 N State of Franklin Rd, Suite 303, Johnson City, TN 37604-6008 | 2006-06-29 |
| 1982640827 | Pulmonary Associates of East Tennessee, P.C. | Internal Medicine | 310 N State of Franklin Rd, Suite 303, Johnson City, TN 37604-6008 | 2006-06-21 |
| 1891780979 | Regina Frants | Internal Medicine | 52 Harrison St, Johnson City, NY 13790-2120 | 2005-09-15 |
| 1619962883 | Julia A Miller | Internal Medicine | 52 Harrison St, Johnson City, NY 13790-2120 | 2005-09-14 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on KEITH P 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.