DR. ROBERT ELLSWORTH YOUNG II (NPI# 1790777662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790777662 |
| Entity Type | Individual |
| Full Name | DR. ROBERT ELLSWORTH YOUNG II |
| Credential | M.D. |
| Practice Address |
100 Mission Blvd Suite 2800 Jackson CA 95642-2536 |
| Mailing Address |
10470 Old Placerville Rd Suite 100 Sacramento CA 95827-2539 |
| Practice Telephone | 2092570177 |
| Practice Fax Number | 2092570176 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2015-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | G86327 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G863270 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023673563 | Robert E Young | Psychologist | 735 N Water St Ste 712, Milwaukee, WI 53202-4104 | 2019-05-09 |
| 1992172746 | Robert Young | Specialist | 1167 Greenwood Ave, Palo Alto, CA 94301-3411 | 2015-08-27 |
| 1366857807 | Robert Adam Young | Optometrist | 9801 Highway 92 Ste 100, Woodstock, GA 30188-6454 | 2014-06-24 |
| 1326464306 | Robert Scott Young | Radiologic Technologist | 10500 Mastin St, Overland Park, KS 66212-5717 | 2014-03-13 |
| 1891052197 | Robert S.k. Young | Internal Medicine | 9415 Spruce Tree Cir, Bethesda, MD 20814-1654 | 2012-04-12 |
| 1407155880 | Robert Young | Psychologist | 901 Preston Ave Ste 201, Charlottesville, VA 22903-4491 | 2011-03-24 |
| 1851532279 | Robert Samuel Young | Social Worker | 445 E 1800 S, Bountiful, UT 84010-5307 | 2009-03-14 |
| 1508012873 | Robert Oldham Young | Nutritionist | 16390 Dia Del Sol, Valley Center, CA 92082-6025 | 2008-08-18 |
| 1396912580 | Robert G Young | Dentist | 290a N El Camino Real, Encinitas, CA 92024-2866 | 2008-05-15 |
| 1790955490 | Robert G Young | Physical Therapist | 81a E Queenwood Rd, Morton, IL 61550-2950 | 2008-03-10 |
| Street Address |
100 MISSION BLVD SUITE 2800 |
| City | JACKSON |
| State | CA |
| Zip Code | 95642-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508209909 | Surgical Affiliates of California, Inc. | Clinic/Center | 100 Mission Blvd, Suite B116, Jackson, CA 95642-2536 | 2013-04-16 |
| 1164794012 | Sutter Valley Hospitals | Clinical Medical Laboratory | 100 Mission Blvd, Jackson, CA 95642-2536 | 2012-02-07 |
| 1033499215 | April Michelle Boitano | Advanced Practice Midwife | 100 Mission Blvd, Suite 2800, Jackson, CA 95642-2536 | 2011-08-19 |
| 1497058473 | Maureen Patricia Mooney-michels | Dietitian, Registered | 100 Mission Blvd, Outpatient Diabetes Education Program, Jackson, CA 95642-2536 | 2010-12-13 |
| 1295053833 | Aye Myat Moe | Pediatrics | 100 Mission Blvd, Suite 2600, Jackson, CA 95642-2536 | 2010-05-06 |
| 1861644635 | Melanie M Trowbridge | Psychologist | 100 Mission Blvd, Suite 2800, Jackson, CA 95642-2536 | 2008-10-10 |
| 1760657720 | Yosemite Pathology Medical Group, Inc | Clinical Medical Laboratory | 100 Mission Blvd, Jackson, CA 95642-2536 | 2008-04-29 |
| 1679742951 | Rachel F Clay | Obstetrics & Gynecology | 100 Mission Blvd, Suite 2800, Jackson, CA 95642-2536 | 2008-02-21 |
| 1134293459 | Amy A. Appleton | Pediatrics | 100 Mission Blvd, Suite 2600, Jackson, CA 95642 | 2006-11-20 |
| 1477656932 | Vikram Ramkumar Kumar | Pediatrics | 100 Mission Blvd, Suite 2600, Jackson, CA 95642-2534 | 2006-09-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932666575 | Gold Country Health Initiative, LLC | Family Medicine | 820/830 State Highway 88, Jackson, CA 95642 | 2019-03-01 |
| 1053844902 | Kathryn Erosa | Pharmacist | 515 Highway 49 South, Jackson, CA 95642 | 2017-04-07 |
| 1356882039 | Thomas Alan Bowhay | Clinic/Center | 820 Highway 88, Jackson, CA 95642 | 2017-03-15 |
| 1710130141 | Roland E Womack | Dentist | 511 Sutter St, Jackson, CA 95642 | 2008-10-29 |
| 1508929522 | Stanley M Ordonez | Dentist | 645 New York Ranch Rd, Jackson, CA 95642 | 2006-12-19 |
| 1942374996 | Thomas W Zeiler | Chiropractor | 665 New York Ranch Rd Suite 2, Jackson, CA 95642 | 2006-11-20 |
| 1023188968 | Cordelia Rose Slayter | Physical Therapist | 711 S State Hwy 49, Jackson, CA 95642 | 2006-11-08 |
| 1285744946 | Raleys | Pharmacy | 781 South Highway 49, Jackson, CA 95642 | 2006-08-30 |
| 1316996747 | Robert R. Bussell X | Physical Therapist | 813 Court Street, Ste 2, Jackon, CA 95642 | 2006-05-10 |
| 1861953135 | Chelsea Yule Solutions | Clinic/Center | 230 N Main St, Jackson, CA 95642 | 2019-03-28 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528477007 | Shandeidra Nicole Bonds-singleton | Obstetrics & Gynecology | 657 Skyline Dr Dept Of, Jackson, TN 38301-3903 | 2014-08-08 |
| 1477995454 | Camille Stephanie Mellijor-figg | Obstetrics & Gynecology | 430 S Cache St, Jackson, WY 83001-8692 | 2013-07-19 |
| 1245535392 | River Oaks Management Company, LLC | Obstetrics & Gynecology | 1860 Hospital Dr, Suite 103, Jackson, MS 39204-3410 | 2011-01-21 |
| 1134374291 | Joy Luck | Obstetrics & Gynecology | 2009 W Michigan Ave, Jackson, MI 49202-4010 | 2008-11-17 |
| 1720241532 | Henry Earl West | Obstetrics & Gynecology | 657 Skyline Dr Ste B, Jackson, TN 38301-3903 | 2008-07-02 |
| 1649432626 | William Ashley Hood D.o. | Obstetrics & Gynecology | 1020 River Oaks Dr Ste 430, Jackson, MS 39232-9500 | 2008-06-30 |
| 1790956837 | Jackson Ob-gyn Plc | Obstetrics & Gynecology | 306 W Washington, Ste 102, Jackson, MI 49201 | 2008-03-17 |
| 1295863611 | Richard Nmi Ignatius | Obstetrics & Gynecology | 23 Conor Rd, Jackson, NJ 08527-3781 | 2007-02-28 |
| 1902941768 | Jackson Healthcare for Women Pa | Obstetrics & Gynecology | 1047 N Flowood Dr, Jackson, MS 39232-9533 | 2007-02-20 |
| 1689747396 | Shore Point Obstetrics & Gynecology, P.C. | Obstetrics & Gynecology | 22 Linda Dr, Jackson, NJ 08527-5026 | 2006-11-17 |
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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.