JEREMY W YOUNG (NPI# 1912958950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912958950 |
| Entity Type | Individual |
| Full Name | JEREMY W YOUNG |
| Credential | MD |
| Practice Address |
3000 Saint Matthews Rd Orangeburg SC 29118-1442 |
| Mailing Address |
Po Box 1245 Orangeburg SC 29116-1245 |
| Practice Telephone | 8033952200 |
| Practice Fax Number | 8035360998 |
| Mailing Telephone | 8033952200 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2012-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
16936 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 400685 | 05 | |
| SC | LL1020 | 05 | |
| SC | GP1426 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942745062 | Jeremy Young | Counselor | 603 Ne 7th St, Battle Ground, WA 98604-8151 | 2016-12-28 |
| 1942286885 | Jeremy M Young | Dentist | 1364 Whispering Pines Lane, Suite 2, Grass Valley, CA 95945 | 2005-12-22 |
| 1588165302 | Jeremy Young | Chore Provider | 6725 S Eastern Ave Ste 1, Las Vegas, NV 89119-3949 | 2018-02-27 |
| 1578704359 | Jeremy Young | Nurse Anesthetist, Certified Registered | 601 E Rollins St, Orlando, FL 32803-1248 | 2009-03-09 |
| 1730385501 | Jeremy Nathan Young | Internal Medicine | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2007-06-26 |
| 1609806108 | Jeremy D Young | Internal Medicine | 456 W 10th Ave, Columbus, OH 43210-1240 | 2006-07-03 |
| 1881633535 | Jeremy Young | Chiropractor | 3221 S Memorial Dr, Suite B, New Castle, IN 47362-1172 | 2006-06-06 |
| Street Address |
3000 SAINT MATTHEWS RD |
| City | ORANGEBURG |
| State | SC |
| Zip Code | 29118-1442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567251 | John Richard Ross | Surgery | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2005-06-09 |
| 1831729623 | Edisto Regional Health Services Inc | Clinic/Center | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2020-01-21 |
| 1346870268 | Staccey Bascue | Nurse Practitioner | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2020-01-20 |
| 1376185314 | Courtney L Snell | Nurse Practitioner | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-10-10 |
| 1376193383 | Latosha Larkin Corley | Nurse Practitioner | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-09-12 |
| 1447724679 | Olando Antonio Singletary | Anesthesiology | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-01-22 |
| 1346714847 | Amy Harig | Pharmacist | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-01-17 |
| 1336613843 | Kalyn Collier | Pharmacist | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-01-17 |
| 1841763786 | Sean Newbry | Nurse Anesthetist, Certified Registered | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-01-03 |
| 1912479924 | Kara Charnelle Edmond | Nurse Anesthetist, Certified Registered | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386268175 | Sharon Y Tremble | Speech-Language Pathologist | 222 Summit Parkway, Orangeburg, SC 29118 | 2020-06-08 |
| 1922658756 | Orangeburg County School District | Local Education Agency (LEA) | 102 Founders Court, Orangeburg, SC 29118 | 2019-09-13 |
| 1710442967 | Central Carolina Endodontics Pa | Dentist | 888 Cook Road, Orangeburg, SC 29118 | 2019-02-01 |
| 1821572009 | Sharon Fogle | Counselor | 2319 Wt. Matthews Road, Orangeburg, SC 29118 | 2018-09-24 |
| 1104320001 | South Carolina Surgical Pa | Surgery | 3045 St Matthews Road, Orangeburg, SC 29118 | 2018-03-23 |
| 1477056794 | Palmetto Moon Anesthesia, LLC | Anesthesiology | 3045 St. Matthews Rd., Orangeburg, SC 29118 | 2018-03-13 |
| 1730691882 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 125 Kinard St, Orangeburg, SC 29118 | 2017-10-30 |
| 1154862746 | Latasha Hott | Nurse Practitioner | 2323 St. Matthews Rd, Orangeburg, SC 29118 | 2017-03-15 |
| 1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
| 1881977726 | Ontime Transport LLC | Non-emergency Medical Transport (VAN) | 2851 Pelham Ct, Orangeburg, SC 29118 | 2011-09-27 |
| Find all providers in zip 29118 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164591756 | Advanced Diagnostic Imaging Center, LLC | Radiology | 1728 Village Park Dr, Orangeburg, SC 29118-2426 | 2006-11-07 |
| 1104918390 | Leland D Cropper Jr. | Radiology | 1728 Village Park Drive, Orangeburg, SC 29118 | 2006-09-28 |
| 1346644119 | Edisto Regional Health Services Inc. | Radiology | 1728 Village Park Dr, Orangeburg, SC 29118-2426 | 2014-10-22 |
| 1205082500 | The Regional Medical Center of Orangeburg and Calhoun Counties | Radiology | 3000 St. Matthews Road, Orangeburg, SC 29118-1442 | 2008-08-18 |
| 1720280530 | Amit Kumar Sanghi | Radiology | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2007-06-04 |
| 1346313558 | Advanced Diagnostic Imaging, LLC | Radiology | 1728 Village Park Dr, Orangeburg, SC 29118-2426 | 2006-11-16 |
| 1871666073 | Radiology Associates, Pa | Radiology | 1728 Village Park Dr, Orangeburg, SC 29118-2426 | 2006-11-16 |
| 1881764363 | Dallas W Lovelace IIi | Radiology | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2006-11-09 |
| 1417035643 | William Y Buchanan Jr. | Radiology | 1728 Village Park Drive, Orangeburg, SC 29118 | 2006-11-02 |
| 1366527566 | The Regional Medical Center of Orangeburg and Calhoun Counties | Radiology | 3000 St. Matthews Road, Orangeburg, SC 29118-1442 | 2006-10-26 |
| Find all providers in ORANGEBURG | ||||
| City | ORANGEBURG |
| Zip Code | 29118 |
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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.