DR. MICHAEL YOUNG (NPI# 1508247370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508247370 |
Entity Type | Individual |
Full Name | DR. MICHAEL YOUNG |
Credential | D.O. |
Practice Address |
1300 Franklin Ave Suite 110 Normal IL 61761-3592 |
Practice Telephone | 3092683502 |
Enumeration Date | 2015-06-17 |
Last Update Date | 2015-06-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207T00000X | Neurological Surgery | 125.067578 | IL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477029254 | Michael Young | Case Manager/Care Coordinator | 1541 E 191st St Apt 141, Euclid, OH 44117-1335 | 2018-10-18 |
1346722378 | Michael Bernard Young | Respiratory Therapist, Registered | 2204 E Panama Drive, Centennial, CO 80121 | 2018-09-06 |
1073962676 | Michael Young | Physician Assistant | 1791 Route 23b, Leeds, NY 12451-1546 | 2016-06-06 |
1013361534 | Michael L Young | Chiropractor | 2530 Sir Barton Way Ste 125, Lexington, KY 40509-2275 | 2016-04-21 |
1992054019 | Michael Roy Young | Physical Therapist | 9010 Blaine St, Joint Base Lewis Mcchord, WA 98433-1219 | 2012-09-05 |
1932434016 | Michael C. Young | Optometrist | 1542 Golf Course Rd Ste 201, Grand Rapids, MN 55744-3537 | 2009-10-07 |
1083835391 | Michael Lloyd Young | Dentist | 39242 Dequindre Rd, Suite 106, Sterling Heights, MI 48310-4831 | 2007-05-02 |
1609093632 | Michael Young | Radiology | St Johns Hospital, 800 East Carpenter St., Springfield, IL 62769-0001 | 2007-04-19 |
1700902822 | Michael Young | Optometrist | 12424 W Dodge Rd Ste 104, Omaha, NE 68154-2322 | 2007-03-21 |
1831235167 | Michael Wayne Young | Dentist | 3195 S Main St Ste 225, South Salt Lake, UT 84115-3799 | 2007-01-30 |
Street Address |
1300 FRANKLIN AVE SUITE 110 |
City | NORMAL |
State | IL |
Zip Code | 61761-3592 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164422663 | Timothy J Buffey | Family Medicine | 1300 Franklin Ave, Suite 100, Normal, IL 61761-3592 | 2005-07-26 |
1184117038 | Paul Jene Gustin | Neurological Surgery | 1300 Franklin Ave, Normal, IL 61761-3592 | 2018-06-14 |
1093174690 | Jessica Sinks | Nurse Practitioner | 1300 Franklin Ave, Suite 380, Normal, IL 61761-3592 | 2016-02-11 |
1720460025 | Matthew James Putty | Neurological Surgery | 1300 Franklin Ave, Suite 110, Normal, IL 61761-3592 | 2015-06-23 |
1639585920 | John Christopher Hawkins II | Neurological Surgery | 1300 Franklin Ave, Suite 110, Normal, IL 61761-3592 | 2014-07-07 |
1154736452 | Summer Mustafa Hassan | Family Medicine | 1300 Franklin Ave, Suite #110, Normal, IL 61761-3592 | 2014-06-25 |
1861807174 | Evan Krueger | Neurological Surgery | 1300 Franklin Ave, Suite 110, Normal, IL 61761-3592 | 2014-06-25 |
1982045209 | Gurpreet Singh | Internal Medicine | 1300 Franklin Ave, Suite 380, Normal, IL 61761-3592 | 2013-07-15 |
1861756728 | Daniel William Gibson | Family Medicine | 1300 Franklin Ave, Pob Suite #100, Normal, IL 61761-3592 | 2012-06-26 |
1598037483 | Peggy Jo Jacobs | Advanced Practice Midwife | 1300 Franklin Ave, Suite 181, Normal, IL 61761-3592 | 2012-02-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
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Taxonomy Code | 207T00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neurological Surgery |
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689168593 | Megan Mariah Finneran | Neurological Surgery | 1304 Franklin Ave, Normal, IL 61761-3558 | 2018-06-15 |
1184117038 | Paul Jene Gustin | Neurological Surgery | 1300 Franklin Ave, Normal, IL 61761-3592 | 2018-06-14 |
1285164699 | Gina Nicole Guglielmi | Neurological Surgery | 1304 Franklin Ave, Normal, IL 61761-3558 | 2017-06-18 |
1932559119 | Ryan Michael Johnson | Neurological Surgery | 1300 Franklin Ave Ste 110, Normal, IL 61761-3799 | 2016-06-17 |
1770931297 | Torin Walter Karsonovich | Neurological Surgery | 1304 Franklin Ave, Normal, IL 61761-3558 | 2016-05-25 |
1720460025 | Matthew James Putty | Neurological Surgery | 1300 Franklin Ave, Suite 110, Normal, IL 61761-3592 | 2015-06-23 |
1639585920 | John Christopher Hawkins II | Neurological Surgery | 1300 Franklin Ave, Suite 110, Normal, IL 61761-3592 | 2014-07-07 |
1861807174 | Evan Krueger | Neurological Surgery | 1300 Franklin Ave, Suite 110, Normal, IL 61761-3592 | 2014-06-25 |
1326486283 | Derek Gene Kroll | Neurological Surgery | 1304 Franklin Ave, Normal, IL 61761-3558 | 2013-06-12 |
1740523869 | Joshua Sterling Bentley | Neurological Surgery | 1304 Franklin Ave, Normal, IL 61761-3558 | 2013-03-27 |
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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.