GARY W.O. YOUNG (NPI# 1689601155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689601155 |
| Entity Type | Individual |
| Full Name | GARY W.O. YOUNG |
| Credential | M.D. |
| Practice Address |
4341 Golden Center Dr Suite B Placerville CA 95667-6260 |
| Mailing Address |
Po Box 45680 Suite 7 San Francisco CA 94145-0680 |
| Practice Telephone | 5306213600 |
| Practice Fax Number | 5306267617 |
| Mailing Telephone | 5306213600 |
| Mailing Fax Number | 5306267617 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2013-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G678890 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0070790 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356609424 | Gary Joseph Young | Specialist | 131 Corte Del Prado, Walnut Creek, CA 94598-3435 | 2012-04-26 |
| 1427109099 | Gary Patrick Young | Optometrist | 12325 N Rockwell Ave, Oklahoma City, OK 73142-2702 | 2007-01-12 |
| 1427678416 | Gary Blake Young | Student in an Organized Health Care Education/Training Program | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-04-20 |
| 1144755364 | Gary Young | Psychologist | 1100 Wilford Hall Loop, Jbsa-lackland, TX 78236 | 2017-04-25 |
| 1962817825 | Gary Trevor Young | Physician Assistant | 127 Oneida Valley Rd Ste 202, Butler, PA 16001-2239 | 2014-06-30 |
| 1316267552 | Gary Young | Chiropractor | 1308 Macdade Blvd, Folsom, PA 19033-1612 | 2010-06-10 |
| 1437336427 | Gary B Young | Chiropractor | 234 N Central Ave, Room 204, Hartsdale, NY 10530-1809 | 2008-01-22 |
| 1972624567 | Gary David Young II | Physical Therapist | 45 Forge Hill Rd, Franklin, MA 02038-3100 | 2007-04-02 |
| 1528008646 | Gary S Young | Radiology | 1450 8th Ave, Fort Worth, TX 76104-4110 | 2006-06-07 |
| 1902843907 | Gary W Young | Family Medicine | 1723 Lucerne Ter, Orlando, FL 32806-2916 | 2006-05-31 |
| Street Address |
4341 GOLDEN CENTER DR SUITE B |
| City | PLACERVILLE |
| State | CA |
| Zip Code | 95667-6260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558367102 | William Koble | Family Medicine | 4341 Golden Center Dr, Suite B, Placerville, CA 95667-6260 | 2005-06-27 |
| 1801336128 | Jocelyne Renee O'connor | Nurse Practitioner | 4341 Golden Center Dr, Placerville, CA 95667-6260 | 2017-03-06 |
| 1386065480 | Marshall Medical Center | Pediatrics | 4341 Golden Center Dr, Suite A, Placerville, CA 95667-6260 | 2013-12-17 |
| 1518280288 | Tonantzin Eva Rodriguez | Family Medicine | 4341 Golden Center Dr, Placerville, CA 95667-6260 | 2010-03-09 |
| 1326286048 | Marshall Medical Center | Family Medicine | 4341 Golden Center Dr, Suite B, Placerville, CA 95667-6260 | 2009-02-03 |
| 1679731889 | Courtney Ann Lacaze-adams | Pediatrics | 4341 Golden Center Dr, Suite A, Placerville, CA 95667-6260 | 2008-05-26 |
| 1487841128 | Marshall Medical | Pediatrics | 4341 Golden Center Dr, Suite A, Placerville, CA 95667 | 2007-09-26 |
| 1225168693 | Mary Louise Giska | Nurse Practitioner | 4341 Golden Center Dr, Suite B, Placerville, CA 95667-6260 | 2007-03-06 |
| 1699829184 | Marshall Center for Pediatrics | Pediatrics | 4341 Golden Center Dr, Suite A, Placerville, CA 95667-6816 | 2007-01-22 |
| 1770647299 | Peter Andrew Barba | Family Medicine | 4341 Golden Center Dr, Suite B, Placerville, CA 95667-6260 | 2006-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
| 1497390041 | Summitview Child & Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3025 Glee Ln, Placerville, CA 95667 | 2019-11-07 |
| 1225694474 | Camille Borba | Doula | 1212 Lotus Rd, Placerville, CA 95667 | 2019-05-14 |
| 1033610399 | Julie Marie Halsall | Counselor | 2844 Coloma Street, Placerville, CA 95667 | 2018-02-22 |
| 1053839092 | County of El Dorado | Community/Behavioral Health | 3057 Briw Road, Suite A, Placerville, CA 95667 | 2017-08-30 |
| 1982129508 | Brent Charles Ulrici | Counselor | 2986 Colma St, Placerville, CA 95667 | 2017-08-04 |
| 1629464326 | Crystal Coury | Counselor | 5607 Mount Murphy Roas, Garden Valley, CA 95667 | 2015-04-09 |
| 1396141750 | Brown and Ghazal Dental Corporation | Dentist | 3967 Missouri Flat Road, Suite 120, Placerville, CA 95667 | 2014-11-13 |
| 1962808402 | Laura Ann Curry | Counselor | 6765 Green Valley Road, Placerville, CA 95667 | 2014-11-11 |
| 1518374453 | Kelly Lynn Carson | Counselor | 2844 Colona St., Placerville, CA 95667 | 2014-07-11 |
| Find all providers in zip 95667 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457526972 | Emilie Beth Riddle | Family Medicine | 1095 Marshall Way Ste 100, Placerville, CA 95667-5722 | 2008-04-25 |
| 1609953256 | Keith J Boston | Family Medicine | 3150 Gilmore St, Placerville, CA 95667-5500 | 2006-11-01 |
| 1457457160 | H Lynn Drummer | Family Medicine | 652 Main St, Placerville, CA 95667-5704 | 2006-09-16 |
| 1508884073 | Placerville Family Practice Medical Group, Inc | Family Medicine | 905 Spring St, Placerville, CA 95667-4511 | 2006-07-17 |
| 1962465104 | David F Ramos | Family Medicine | 3105 Cedar Ravine Rd, Suite 103, Placerville, CA 95667-6561 | 2006-04-10 |
| 1043210123 | Jonathan Lehrman | Family Medicine | 1095 Marshall Way, Placerville, CA 95667-5722 | 2005-07-29 |
| 1558367102 | William Koble | Family Medicine | 4341 Golden Center Dr, Suite B, Placerville, CA 95667-6260 | 2005-06-27 |
| 1427052257 | Paul Bernard Sobelman | Family Medicine | 1000 Fowler Way, Ste 7, Placerville, CA 95667-5738 | 2005-06-09 |
| 1730529439 | Michael Ngo | Family Medicine | 4327 Golden Center Dr, El Dorado Community Health Center, Placerville, CA 95667-6287 | 2013-06-27 |
| 1487097929 | Loni D Jay | Family Medicine | 1045 Marshall Way, Placerville, CA 95667-5721 | 2013-04-15 |
| Find all providers in PLACERVILLE | ||||
| City | PLACERVILLE |
| Zip Code | 95667 |
Please comment or provide details below to improve the information on GARY W.O. 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.