TEDDY SI YOUN (NPI# 1912137985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912137985 |
| Entity Type | Individual |
| Full Name | TEDDY SI YOUN |
| Credential | M.D. |
| Practice Address |
240 W Thomas Rd # 400 Phoenix AZ 85013-4407 |
| Practice Telephone | 6024066262 |
| Practice Fax Number | 6024066261 |
| Mailing Telephone | 6024066262 |
| Mailing Fax Number | 6024066261 |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2019-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ML60093624 | WA | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
58461 | AZ | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME130279 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 019236100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1329 Sw 16th St, Gainesville, FL 32610 | 3522735607 |
| Street Address |
240 W THOMAS RD # 400 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-4407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518929249 | Paul R Macdonald | Psychiatry & Neurology | 240 W Thomas Rd # 400, Phoenix, AZ 85013-4407 | 2006-04-06 |
| 1669848297 | Karissa A Secora | Physician Assistant | 240 W Thomas Rd # 400, Phoenix, AZ 85013-4407 | 2015-08-18 |
| 1144653437 | Damian Esteban Berezovsky | Psychiatry & Neurology | 240 W Thomas Rd # 400, Phoenix, AZ 85013-4407 | 2013-08-09 |
| 1356786800 | Kelly Lauren Braun | Psychiatry & Neurology | 240 W Thomas Rd # 400, Phoenix, AZ 85013-4407 | 2013-05-09 |
| 1780930172 | Ram Narendra Narayan | Psychiatry & Neurology | 240 W Thomas Rd # 400, Phoenix, AZ 85013 | 2012-08-03 |
| 1740450295 | Vladimir Shvarts | Psychiatry & Neurology | 240 W Thomas Rd # 400, Phoenix, AZ 85013 | 2008-03-11 |
| 1831297274 | David Wang | Psychiatry & Neurology | 240 W Thomas Rd # 400, Phoenix, AZ 85013-4407 | 2006-09-20 |
| 1255365920 | Susan T Herman | Psychiatry & Neurology | 240 W Thomas Rd # 400, Phoenix, AZ 85013-4407 | 2006-07-10 |
| 1184682882 | Jeremy M Shefner | Psychiatry & Neurology | 240 W Thomas Rd # 400, Phoenix, AZ 85013 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
| Find all providers in zip 85013 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437772027 | Alobaidy Neurology Consultants Pllc | Psychiatry & Neurology | 3719 E Louise Dr, Phoenix, AZ 85050-8314 | 2020-05-18 |
| 1619509718 | De Ocampo Medical Partners Pllc | Psychiatry & Neurology | 7500 N Dreamy Draw Dr Ste 133, Phoenix, AZ 85020-4668 | 2020-02-06 |
| 1811539901 | Arizona Neurological Services Pllc | Psychiatry & Neurology | 14001 N 7th St Bldg F1, Phoenix, AZ 85022-4382 | 2019-10-10 |
| 1649751082 | Jennifer Victoria Robblee | Psychiatry & Neurology | 240 W Thomas Rd Fl 4, Phoenix, AZ 85013-4407 | 2018-08-23 |
| 1881116648 | Rem Neuromonitoring Management LLC | Psychiatry & Neurology | 19820 N 7th Ave Ste 230t, Phoenix, AZ 85027-4785 | 2017-07-13 |
| 1629506373 | Rem Neuromonitoring LLC | Psychiatry & Neurology | 20235 N Cave Creek Rd Ste 104-495, Phoenix, AZ 85024-4424 | 2017-05-25 |
| 1972977569 | Borpan Monitoring, Pllc | Psychiatry & Neurology | 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 | 2015-11-19 |
| 1457766792 | Anne Marie Hatch | Psychiatry & Neurology | 5090 N 40th St Ste 250a, Phoenix, AZ 85018 | 2014-06-25 |
| 1417395799 | Alan Wang | Psychiatry & Neurology | 755 E Mcdowell Rd Fl 3, Phoenix, AZ 85006 | 2013-06-10 |
| 1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
| Find all providers in PHOENIX | ||||
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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.