DR. RAUL NEFTALI YOUNG-RODRIGUEZ (NPI# 1770669053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770669053 |
| Entity Type | Individual |
| Full Name | DR. RAUL NEFTALI YOUNG-RODRIGUEZ |
| Credential | M.D. |
| Practice Address |
1060 Gaffney Rd # 7440 Mcuc-qmd-cp Credentials Bassett Army Community Hospital Fort Wainwright AK 99703-5001 |
| Mailing Address |
Po Box 15805 Seattle WA 98115-0805 |
| Practice Telephone | 9073535143 |
| Mailing Telephone | 2064173284 |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD00020486 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
1060 GAFFNEY RD # 7440 MCUC-QMD-CP CREDENTIALS BASSETT ARMY COMMUNITY HOSPITAL |
| City | FORT WAINWRIGHT |
| State | AK |
| Zip Code | 99703-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538452248 | Amy Weaver | Occupational Therapist | 1060 Gaffney Rd # 7440, Fort Wainwright, AK 99703 | 2011-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144866435 | Rebecca P Conner | Registered Nurse | Bach, 1060 Gafney Rd, Ft Wainwright, AK 99703 | 2019-11-21 |
| 1881242030 | Stephanie Morse | Counselor | Bldg 3406 Alder Ave, Ft. Wainwright, AK 99703 | 2019-08-30 |
| 1801376702 | Matthew Gerard Somma | Physician Assistant | 1-25 Attack Reconnaissance Bn, Fort Wainwright, AK 99703 | 2018-08-20 |
| 1003268657 | Brandy Tristan | Dental Hygienist | Bldg 3406, Troop Dental Clinic, Ft. Wainwright, AK 99703 | 2016-07-07 |
| 1174998918 | Jeffrey Grace | Physician Assistant | Bassett Army Medical Center (kamish Clinic), 1060 Gaffney Rd, Ft Wainwright, AK 99703 | 2015-12-04 |
| 1073999215 | Melanie Anne Whalen | Dentist | 4055 Tamarak Dr, Ft Wainwright, AK 99703 | 2015-08-10 |
| 1790183176 | Sally Jane Rall | Counselor | 3406 Adler Ave, Fairbanks, AK 99703 | 2014-12-16 |
| 1083029193 | Francesann Hill | General Practice | 3214 East Santiago Avenue, Apo, AP 99703 | 2014-06-26 |
| 1669883146 | Amber Benton | Psychiatry & Neurology | 4005-4007 602nd St, Fort Wainwright, AK 99703 | 2014-05-18 |
| 1952720898 | Allison Hubert | Occupational Therapist | 3410 Rhineland Ave, Rm 108, Fort Wainwright, AK 99703 | 2014-04-08 |
| Find all providers in zip 99703 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023401338 | Kara Purdy | Emergency Medicine | Bassett Army Community Hospital, 4076 Neely Road, Fort Wainwright, AK 99703 | 2015-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477819613 | Emily Junck | Emergency Medicine | 3240 Hospital Dr, Emergency Department, Bartlett Regional Hospital, Juneau, AK 99801-7808 | 2012-04-02 |
| 1174814073 | Justin Ray Warix | Emergency Medicine | 417 1st Avenue, Seward, AK 99664 | 2011-04-26 |
| 1538458799 | David Rf Otten | Emergency Medicine | 5955 Zeamer Ave 673d Mdg, Jber, AK 99506-3702 | 2011-03-28 |
| 1881928372 | Jennifer Eisner | Emergency Medicine | 1 Chief Eddie Hoffman Highway, Ykhc, Bethel, AK 99559 | 2009-09-30 |
| 1487816476 | Jessica Erin Sotelo | Emergency Medicine | Providence Medical Center Alaska, Anchorage Emergency D, 3200 Providence Drive, Anchorage, AK 99508 | 2008-06-30 |
| 1427251008 | John Jay Everett | Emergency Medicine | 4315 Diplomacy Drive/emergency Dept, Alaska Native Medical Center, Anchorage, AK 99508-2511 | 2007-06-09 |
| 1982810925 | Nancy L Kragt | Emergency Medicine | 2741 Debarr Rd Bldg C, #403, Denali Emergency Medicine Assoc., Anchorage, AK 99508-2961 | 2007-05-15 |
| 1730392150 | Christopher Calvert | Emergency Medicine | 6471 Village Pkwy, Anchorage, AK 99504-3947 | 2007-05-08 |
| 1972644664 | Marc Jack Dumas | Emergency Medicine | 5859 Aerofuel Pl, Fairbanks, AK 99709-4486 | 2007-02-08 |
| 1760532006 | Robert D Hagberg | Emergency Medicine | Mat Su Empercency Medicine Physicians At Msrmc, 2500 S. Woodworth Loop, Palmer, AK 99645 | 2007-01-11 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAINWRIGHT |
| Zip Code | 99703 |
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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.