PETER C YOUNG (NPI# 1609894880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609894880 |
| Entity Type | Individual |
| Full Name | PETER C YOUNG |
| Credential | MD |
| Practice Address |
11100 Euclid Ave Cleveland OH 44106-1716 |
| Mailing Address |
3605 Warrensville Center Rd Shaker Heights OH 44122-5203 |
| Practice Telephone | 2168441700 |
| Mailing Telephone | 4406845816 |
| Mailing Fax Number | 4406845952 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2009-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35-072144 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | BCMH | 0304914 | 01 |
| MI | MI MEDICAID | 1609894880 | 01 |
| OH | WELLCARE | 364159 | 01 |
| OH | AETNA | 5253604 | 01 |
| OH | UNISON | 000000203680 | 01 |
| OH | ANTHEM | 000000503578 | 01 |
| OH | BUCKEYE | 732116 | 01 |
| OH | RAILROAD MEDICARE | P00358878 | 01 |
| OH | 2103477 | 05 | |
| PA | 1010340150001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427242064 | Peter Kevin Young | Chiropractor | 9825 Giles Rd, Suite F, Lavista, NE 68128-2926 | 2007-08-28 |
| 1366568370 | Peter P Young Jr. | Dentist | 412 W Colorado St, Suite C, Glendale, CA 91204-3097 | 2007-03-21 |
| 1235153669 | Peter H Young | Physical Therapist | 3970 Harlem Rd, Amherst, NY 14226 | 2006-07-27 |
| 1326090770 | Peter Bernhart Young | Clinical Neuropsychologist | 10820 Kingston Pike, Suite 21, Knoxville, TN 37934-3066 | 2006-05-16 |
| 1700835287 | Peter Young | Physical Therapist | 316 E Las Tunas Dr Ste 205, San Gabriel, CA 91776-1535 | 2006-05-10 |
| 1376543108 | Peter S Young | Internal Medicine | 10815 W Mcdowell Rd Ste 305, Avondale, AZ 85392-5016 | 2005-07-22 |
| 1679109524 | Peter S Young | Social Worker | 16565 Ne 4th Ave, Miami, FL 33162-3511 | 2020-03-22 |
| 1235690207 | Peter Young | Radiology | 300 University Blvd, Galveston, TX 77555-3055 | 2019-03-30 |
| 1295207363 | Peter Ashton Young | Dermatology | 40 Four Mile Dr Ste 7, Kalispell, MT 59901-2655 | 2018-12-29 |
| 1043743461 | Peter Young | Student in an Organized Health Care Education/Training Program | 177 Fort Washington Ave, Internal Medicine Residency Office, Floor 6, Center 12, New York, NY 10032-3733 | 2017-04-04 |
| Street Address |
11100 EUCLID AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44106-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899927 | Joel H. Elconin | Radiology | 11100 Euclid Ave, Ireland/seidman Radiation Oncology, Cleveland, OH 44106 | 2005-05-23 |
| 1386245207 | Dalal Hamad A Alsaggabi | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-11-06 |
| 1922609809 | Melanie Wolf | Registered Nurse | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-11-05 |
| 1093313918 | Aryn Rose Pecoraro | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-10-13 |
| 1366058331 | Harun Abukar | Registered Nurse | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-16 |
| 1205442290 | Jessica Regan | Dietitian, Registered | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-16 |
| 1740895960 | Sara Lyn Stefano | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-14 |
| 1063026052 | Meredith Barker | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-07 |
| 1124631114 | Luis Augusto Palma Dallan | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-08-28 |
| 1023621216 | Stephanie Casto | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347706 | Adeeb Oweidat | Anesthesiology | 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 | 2020-08-18 |
| 1104434240 | Bradly Miner | Student in an Organized Health Care Education/Training Program | Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 | 2020-07-15 |
| 1306466974 | Ho Jun Lee | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave University Hospitals Cleveland Medical, Cleveland, OH 44106 | 2020-04-23 |
| 1528687837 | Shaleeka Cornelius | Student in an Organized Health Care Education/Training Program | 11100 Euclid Avenue Han 5042, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 | 2020-04-16 |
| 1598393175 | Mikdat Ulas | Student in an Organized Health Care Education/Training Program | 111000 Euclid Avenue, Cleveland, OH 44106 | 2020-03-30 |
| 1790335651 | Michelle Clark | Home Health Aide | 1794 E 87th St, Cleveland, OH 44106 | 2019-09-12 |
| 1881246783 | Oziel Valdez Sanchez | Student in an Organized Health Care Education/Training Program | 11900 Euclid Ave, Cleveland, OH 44106 | 2019-07-10 |
| 1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
| 1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
| 1023677259 | Moeen Al Weshah | Student in an Organized Health Care Education/Training Program | 9601 Chester Ave # 239j3, Cleveland, OH 44106 | 2019-06-11 |
| Find all providers in zip 44106 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568845279 | Rod Momenian | Radiology | 9500 Euclid Ave # Oh44195, Cleveland, OH 44195-1716 | 2015-06-30 |
| 1508123985 | Allan Chiunda | Radiology | Cleveland Clinic Foundation Diagnostic 9500 Ave, Cleveland, OH 44195-0001 | 2012-04-23 |
| 1659652915 | Fatemeh Abdollahi Mofakham | Radiology | 9500 Euclid Ave # A21, Cleveland, OH 44195-0006 | 2011-08-31 |
| 1306008743 | Leah Kim Sieck | Radiology | Crile Building Desk A 10, 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2008-06-26 |
| 1962669754 | Aqeel Ahmad Chowdhry | Radiology | 1445 E 105th St, Cleveland, OH 44106-1137 | 2008-05-20 |
| 1912174954 | Laura Hagen Dean | Radiology | 9500 Euclid Ave # A10, Cleveland, OH 44195-0001 | 2008-05-09 |
| 1164610671 | Claus Simpfendorfer | Radiology | 9500 Euclid Ave - Desk A21, Cleveland, OH 44195 | 2007-10-10 |
| 1427257716 | Daniel Michael Roesel | Radiology | 9500 Euclid Ave # Hb6, Cleveland, OH 44195-5114 | 2007-07-16 |
| 1124222872 | Christopher Coppa | Radiology | 9500 Euclid Avenue, Hb6, Cleveland Clinic Foundation, Cleveland, OH 44195 | 2007-06-14 |
| 1891900114 | Rosalinn Santa Cruz | Radiology | 25001 Emery Rd Ste 100, Cleveland, OH 44128-5627 | 2007-05-11 |
| Find all providers in CLEVELAND | ||||
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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.