SHANE S YOUNG


Address: 499 Wyoming Ave, Kingston, PA 18704-3602
Phone: 5707143050

SHANE S YOUNG (NPI# 1861555823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861555823
Entity Type Individual
Full Name SHANE S YOUNG
Credential M.D.
Practice Address 499 Wyoming Ave
Kingston
PA 18704-3602
Mailing Address 100 N Academy Ave
Danville
PA 17822-9800
Practice Telephone 5707143050
Practice Fax Number 5707143055
Mailing Telephone 5702715555
Mailing Fax Number 5702656578
Enumeration Date 2006-12-19
Last Update Date 2020-09-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine MD471189 PA Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 6205350-1205 UT Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
3665 S 8400 W, Suite #110, Magna, UT 840444907 8012509638

Other Providers SHANE YOUNG

NPI Name Taxonomy Address Enumeration
1194337147 Shane G. Young Counselor 3020 W Willow Knolls Dr, Peoria, IL 61614-8127 2020-08-20
1871158774 Shane Alexander Young Student in an Organized Health Care Education/Training Program 920 Madison Ave Ste 447, Memphis, TN 38103-3438 2019-05-06
1740704865 Shane M Young Pharmacist 850 S Hamilton Rd, Whitehall, OH 43213-3000 2017-07-31
1932491990 Shane Young Chiropractor 9800 Topanga Canyon Blvd, Suite #e, Chatsworth, CA 91311-4076 2011-05-10

Office Location

Street Address 499 WYOMING AVE
City KINGSTON
State PA
Zip Code 18704-3602

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861468241 Lisa J. Coroniti Pediatrics 499 Wyoming Ave, Kingston, PA 18704-3602 2006-02-27
1487268322 Mia Elizabeth Lussier Pharmacist 499 Wyoming Ave, Kingston, PA 18704-3602 2020-09-08
1003462813 Pamela Charney Dietitian, Registered 499 Wyoming Ave, Kingston, PA 18704-3602 2019-08-16
1770858961 Jovan S. Adams Family Medicine 499 Wyoming Ave, Kingston, PA 18704-3602 2012-03-20
1598042087 Geisinger Clinic Pediatrics 499 Wyoming Ave, Kingston, PA 18704-3602 2011-11-10
1912198144 Mark George Evans Internal Medicine 499 Wyoming Ave, Kingston, PA 18704-3602 2007-08-05
1255362778 Geisinger Clinic Clinical Medical Laboratory 499 Wyoming Ave, Kingston, PA 18704-3602 2006-07-05
1851348718 George K. Avetian Family Medicine 499 Wyoming Ave, Kingston, PA 18704-3602 2006-05-27
1114987484 Michael E. Kordek Family Medicine 499 Wyoming Ave, Kingston, PA 18704-3602 2006-03-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013557552 Millmark Health Inc. Psychiatry & Neurology 511 Pierce Street, Kingston, PA 18704 2020-01-13
1427550334 Michael Anthony Waltich Military Health Care Provider 82 Cooper Street, Pringle, PA 18704 2018-03-06
1376088435 Jae LLC Massage Therapist 512 Northhampton Street, Edwardsville, PA 18704 2016-12-28
1306278288 Mohammad Khaled Tashkandi Internal Medicine 490 Northampton St Ste 1, Edwardsville, PA 18704 2013-08-02
1396180014 Sammie Craven IIi Pharmacist 96 1st Avenue, Kingston, PA 18704 2013-05-08
1447693114 Catherine Mary Harding Nurse Practitioner 141 South Maple Ave, Kingston, PA 18704 2013-04-12
1861781403 Jennifer Ann Richards Pharmacist 22 West Side Mall, Edwardsville, PA 18704 2011-04-05
1558512772 Jolon Theresa Sherin Speech-Language Pathologist 1825 Sans Souci Highway, Hanover, PA 18704 2008-10-07
1932361102 Kari Ann Pietralczyk Audiologist 190 Welles Street, Forty-fort, PA 18704 2008-06-30
1467584151 John Christopher Storti Chiropractor 180 United Penn Plaza, Kingston, PA 18704 2007-03-09
Find all providers in zip 18704

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285234252 Healthstar Physicians of Hot Springs, Pllc Family Medicine 220 Madison 2620, Kingston, AR 72742 2020-10-29
1912423468 Vintage Direct Primary Care Family Medicine 25985 Barbr Cutff Rd Ne Ste B1, Kingston, WA 98346-9596 2017-08-16
1063945798 Danielle Isenburg Family Medicine 1240 Ulster Ave Ste 104, Kingston, NY 12401-1517 2017-04-10
1437546140 Nedal Amin Elass Family Medicine 701 Highway 70 E, Kingston, OK 73439-8253 2015-04-20
1790188639 Lakeside Family Medicine Family Medicine 714 Hwy 70 E, Kingston, OK 73439 2014-10-07
1033459680 Health Quest Medical Practice Family Medicine 40 Hurley Ave Ste 18, Kingston, NY 12401-3738 2013-02-19
1295064178 Lakeside Family Medicine Family Medicine 21 N. Main Street, Kingston, OK 73439-1798 2009-12-23
1871769125 Ira Vohra Family Medicine 610 Wyoming Ave Ste 1, Kingston, PA 18704-3702 2008-05-07
1801067145 Michael E Fath, D.o., P.c Family Medicine 618 Wyoming Ave, Kingston, PA 18704-3702 2008-03-14
1275702961 Baptist Healthcare of Oklahoma Family Medicine 700 S Muncrief At Hwy 70, Kingston, OK 73439-0762 2008-02-27
Find all providers in KINGSTON

Competitor

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City KINGSTON
Zip Code 18704

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Dataset Information

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.

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