DOUGLAS C YOUNG (NPI# 1588025563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588025563 |
| Entity Type | Individual |
| Full Name | DOUGLAS C YOUNG |
| Credential | PA-C |
| Practice Address |
604 Oak Commons Blvd Kissimmee FL 34741 |
| Practice Telephone | 3214025054 |
| Mailing Telephone | 3214025054 |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9109370 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285897090 | Douglas A Young | Dentist | 2155 Webster St # 400, San Francisco, CA 94115-2333 | 2008-07-02 |
| 1346340296 | Douglas Young | Internal Medicine | 3840 Watt Ave, Building E, Sacramento, CA 95821-2640 | 2006-09-22 |
| 1306820550 | Douglas Lynn Young | Internal Medicine | 12716 Ne 36th St, Spencer, OK 73084-9103 | 2005-12-01 |
| 1962497081 | Douglas B Young | Physician Assistant | 1400 Hatcher Ln, Columbia, TN 38401-3563 | 2005-09-14 |
| 1679612394 | Douglas Bruce Young | Psychologist | 18040 Sherman Way, Department of Behavioral Health, Reseda, CA 91335-4631 | 2007-02-06 |
| 1841247822 | Douglas Young IIi | Physical Therapist | 3211 Iris Dr, Covington, GA 30016-0907 | 2006-05-27 |
| 1275590564 | Douglas A Young | Ophthalmology | 300 Plaza Court Suite A, East Stroudsburg, PA 18301-8260 | 2006-04-28 |
| 1003889577 | Douglas Trent Young | Physician Assistant | 2845 Siena Heights Dr, Henderson, NV 89052-4153 | 2006-02-07 |
| 1053399618 | Douglas Bryan Young | Surgery | 200 W Grover St, Shelby, NC 28150-3708 | 2006-01-04 |
| Street Address |
604 OAK COMMONS BLVD |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740257229 | Harald J Henningsen | Orthopaedic Surgery | 604 Oak Commons Blvd, Kissimmee, FL 34741 | 2006-03-03 |
| 1689124802 | Aaron Smith | Physician Assistant | 604 Oak Commons Blvd, Kissimmee, FL 34741-4198 | 2016-10-12 |
| 1093078024 | Alfredo Juan Arrojas | Orthopaedic Surgery | 604 Oak Commons Blvd, Kissimmee, FL 34741-4198 | 2012-06-25 |
| 1568797553 | Nandan Shah | Orthopaedic Surgery | 604 Oak Commons Blvd, Kissimmee, FL 34741-4198 | 2009-10-08 |
| 1376620690 | Karr and Kornberg Orthopaedic Associates, Md, Pa | Orthopaedic Surgery | 604 Oak Commons Blvd, Kissimmee, FL 34741-4198 | 2006-11-01 |
| 1023100252 | Richard Z Ordon | Physician Assistant | 604 Oak Commons Blvd, Kissimmee, FL 34741-4198 | 2006-09-28 |
| 1811955933 | Francisco Noda | Orthopaedic Surgery | 604 Oak Commons Blvd, Kissimmee, FL 34741 | 2006-05-01 |
| 1801856497 | Markus Kornberg | Orthopaedic Surgery | 604 Oak Commons Blvd, Kissimmee, FL 34741 | 2006-03-27 |
| 1407824410 | Jonathan A Blum | Podiatrist | 604 Oak Commons Blvd, Kissimmee, FL 34741 | 2006-03-08 |
| 1942278957 | Michael A Karr | Orthopaedic Surgery | 604 Oak Commons Blvd, Kissimmee, FL 34741 | 2006-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239834 | Kathia I Torres Cintron | Occupational Therapy Assistant | 201 Park Place Blvd Kissimmee Fl 347, Kissimmee, FL 34741 | 2020-06-08 |
| 1992340046 | Zynia Spencer | Marriage & Family Therapist | 345 W. Oak St., Kissimmee, FL 34741 | 2019-11-13 |
| 1225597784 | Leila Rosado | Counselor | All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 | 2019-03-14 |
| 1235610312 | Yashirah Castillo | Behavior Technician | 230 Country Blvd, Apt 6, Kissimmee, FL 34741 | 2018-08-27 |
| 1376021352 | Julio Cesar Castellanos | Nurse Practitioner | 1050 W Carroll St Apt 149, Kissimmee, FL 34741 | 2018-08-01 |
| 1245724715 | Sonia Teresa Rodriguez | Counselor | 3438 W. Vine Street, Kissimmee, FL 34741 | 2018-06-19 |
| 1700376316 | Jessica Mateo | Social Worker | 111 E Monument Ave Unit 412, Kissimmee, FL 34741 | 2018-05-18 |
| 1306340880 | George Gianakakos | Psychiatry & Neurology | 720 W. Oak St., Suite 360, Kissimmee, FL 34741 | 2018-03-20 |
| 1154825693 | Mary Catherine Slome | Student in an Organized Health Care Education/Training Program | 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 | 2018-03-20 |
| 1457855991 | Sherwin Zachariah Thomas | Student in an Organized Health Care Education/Training Program | 720 W. Oak St., Ste 201, Kissimmee, FL 34741 | 2018-03-20 |
| Find all providers in zip 34741 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451430 | Namita Hunjen | Physician Assistant | 651 Eagle Pointe S, Kissimmee, FL 34746-6707 | 2020-09-15 |
| 1659986339 | Nickisha Kristina Brown | Physician Assistant | 2605 Eagle Bay Blvd, Kissimmee, FL 34743-6080 | 2020-09-10 |
| 1851902571 | Tomoyo Park | Physician Assistant | 2820 Drifting Lilly Loop, Kissimmee, FL 34747-2203 | 2020-08-14 |
| 1477178796 | Mia M Stokes | Physician Assistant | 1343 Banbridge Dr, Kissimmee, FL 34758-2732 | 2020-06-11 |
| 1255986428 | Anam Jaffar | Physician Assistant | 1118 Cypress Glen Cir, Kissimmee, FL 34741-7559 | 2019-08-05 |
| 1003327016 | Holly N Jones | Physician Assistant | 1157 Miranda Ln, Kissimmee, FL 34741-0763 | 2017-10-17 |
| 1023490190 | Alyssa Madanick | Physician Assistant | 8201 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34747-8202 | 2015-06-24 |
| 1255659405 | Melissa Amada Rodriguez | Physician Assistant | 2488 E Irlo Bronson Memorial Hwy Ste 203, Kissimmee, FL 34744-4948 | 2010-05-12 |
| 1033444088 | Bria Leigh Bennie | Physician Assistant | 102 Park Place Blvd Ste 3, Kissimmee, FL 34741-2358 | 2009-10-08 |
| 1881847382 | Stacey Lee Farmer | Physician Assistant | 841 East Oak Street, Kissimmee, FL 34744-5838 | 2008-10-28 |
| Find all providers in KISSIMMEE | ||||
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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.