TRISTAN YOUNG


Address: 9228 Medical Plaza Dr, Charleston, SC 29406-9125
Phone: 8438767080

TRISTAN YOUNG (NPI# 1972063238) 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) 1972063238
Entity Type Individual
Full Name TRISTAN YOUNG
Practice Address 9228 Medical Plaza Dr
Charleston
SC 29406-9125
Mailing Address 9228 Medical Plaza Drive
Charleston
SC 29406
Practice Telephone 8438767080
Practice Fax Number 8438767111
Mailing Telephone 8438767080
Mailing Fax Number 8438767111
Enumeration Date 2019-03-22
Last Update Date 2019-03-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers TRISTAN YOUNG

NPI Name Taxonomy Address Enumeration
1215326160 Tristan Young Clinical Neuropsychologist 1276 Mcconnell Dr Ste C, Decatur, GA 30033-3506 2015-01-15

Office Location

Street Address 9228 MEDICAL PLAZA DR
City CHARLESTON
State SC
Zip Code 29406-9125

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376854117 Molly Eloise Gentle Family Medicine 9228 Medical Plaza Dr, Charleston, SC 29406-9125 2010-06-26
1609403542 Matthew Benjamin Mclaughlin Family Medicine 9228 Medical Plaza Dr, Charleston, SC 29406-9125 2020-03-23
1831726702 Molly Keefe O'brien Haas Student in an Organized Health Care Education/Training Program 9228 Medical Plaza Dr, Charleston, SC 29406-9125 2020-03-23
1043847940 Joseph Robert Luvisi Student in an Organized Health Care Education/Training Program 9228 Medical Plaza Dr, Charleston, SC 29406-9125 2020-03-23
1760942759 Virginia Erin Gee Family Medicine 9228 Medical Plaza Dr, Charleston, SC 29406-9125 2019-03-25
1093275927 Jonathan Edward Aker Student in an Organized Health Care Education/Training Program 9228 Medical Plaza Dr, Charleston, SC 29406-9125 2019-03-25
1326508383 Adam Ridley Student in an Organized Health Care Education/Training Program 9228 Medical Plaza Dr, Charleston, SC 29406-9125 2019-03-24
1922568393 Koby Caplan Student in an Organized Health Care Education/Training Program 9228 Medical Plaza Dr, Charleston, SC 29406-9125 2019-03-22
1275093031 Daniel Slone Student in an Organized Health Care Education/Training Program 9228 Medical Plaza Dr, Charleston, SC 29406-9125 2019-03-20
1942760707 Emily Tallant Marshall Family Medicine 9228 Medical Plaza Dr, Charleston, SC 29406-9125 2019-03-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023622289 Sara Desmarais Physical Therapist 2760 Tricom St, North Charleston, SC 29406 2020-09-04
1669036448 Pink Elephant Autism Project In Home Supportive Care 8738 Red Oak Drive, Charleston, SC 29406 2019-04-26
1083171185 Medical University Hospital Authority Pharmacy 2250 Mall Drive, North Charleston, SC 29406 2019-02-25
1336627371 Truesdale Medical Center LLC Internal Medicine 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 2018-08-01
1164914552 Amanda R Dipiazza Nurse Anesthetist, Certified Registered 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 2018-06-01
1982148490 Trident Medical Center Psychiatric Hospital 9225 C Medical Plaza Drive, Charleston, SC 29406 2016-12-19
1649726217 First Choice Counseling Services, LLC Community/Behavioral Health 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 2016-09-01
1821443896 Liberty Doctors, LLC Family Medicine 9275 D Medical Plaza Dr., North Charleston, SC 29406 2016-04-27
1174984645 Ashia George Developmental Therapist 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 2016-03-11
1023488582 Etta Smith Counselor 2470 Mall Dr Unit Cd, North Charleston, SC 29406 2015-09-28
Find all providers in zip 29406

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144833823 Shadi Adib Bashai Student in an Organized Health Care Education/Training Program 743 1/2 Washington St W, Charleston, WV 25302-1844 2020-08-24
1043837883 Jacey Renee Dillon Student in an Organized Health Care Education/Training Program 2119 Stoner Dr W, Charleston, IL 61920-3723 2020-06-27
1053931410 Pir Ali Shah Student in an Organized Health Care Education/Training Program 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 2020-04-25
1629698865 Umer Muhammad Student in an Organized Health Care Education/Training Program Childrens Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 2020-04-17
1730718891 Ryan Metts Student in an Organized Health Care Education/Training Program 211 Ashley Ave Apt B, Charleston, SC 29403-6859 2020-04-02
1598393506 Khadija Naseem Student in an Organized Health Care Education/Training Program Robert C. Bird Clinical Training Center, 3200 Maccorkle Avenue Southeast, Charleston, WV 25304-1208 2020-03-27
1235766411 Abhishek Yadav Student in an Organized Health Care Education/Training Program 101 29th St Se Apt 20, Charleston, WV 25304-1149 2020-03-26
1649807603 Jasmine Shah Student in an Organized Health Care Education/Training Program 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 2020-03-26
1861027815 Robert Bryce Robbins Student in an Organized Health Care Education/Training Program Search Results 171 Ashley Ave, Charleston, SC 29425-0001 2020-03-10
1700426343 Mikaela Kiser Student in an Organized Health Care Education/Training Program 3813 Staunton Ave Se Unit A, Charleston, WV 25304-1537 2020-01-12
Find all providers in CHARLESTON

Competitor

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City CHARLESTON
Zip Code 29406

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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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