DR. MAURICE EDGAR YOUNG M.D. NPI 1104980663

NPI Information

NPI: 1104980663
Provider Name: DR. MAURICE EDGAR YOUNG, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
5130 W BASELINE RD STE 102
LAVEEN, AZ
ZIP 85339
Phone: (602) 237-7373
Get Directions

DR. Maurice Edgar Young, M.D. is a general practice in Laveen, AZ. DR. Maurice Edgar Young, M.D. NPI is 1104980663. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5130 W BASELINE RD STE 102
LAVEEN, AZ
ZIP 85339-984
Phone: (602) 237-7373
Fax: (602) 237-7977

The NPI 1104980663 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 8/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		0101237702	VIRGINIA	No
2	2083A0100X	Preventive Medicine	Aerospace Medicine	0101237702	VIRGINIA	No
3	208D00000X	General Practice		51391	ARIZONA	Yes
4	208D00000X	General Practice		0101237702	VIRGINIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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