DR. GREGG K YOUNG DPM NPI 1154337046

NPI Information

NPI: 1154337046
Provider Name: DR. GREGG K YOUNG, DPM
Classification: Podiatrist - 213EP1101X
Entity Type: Individual

Specialization: Primary Podiatric Medicine

Address:
VAMC 112
500 FOOTHILL AVE
SALT LAKE CITY, UT
ZIP 84148
Phone: (801) 582-1565
Get Directions

DR. Gregg K Young, DPM is a primary podiatric medicine podiatrist in Salt Lake City, UT. DR. Gregg K Young, DPM NPI is 1154337046. 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:

VAMC 112
500 FOOTHILL AVE
SALT LAKE CITY, UT
ZIP 84148-001
Phone: (801) 582-1565
Fax: (801) 584-2587

The enumeration date for this NPI number is 7/31/2006 and was last updated on 7/8/2007.

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	213EP1101X	Podiatrist	Primary Podiatric Medicine	104906-0501	UTAH	Yes
2	213ES0131X	Podiatrist	Foot Surgery	104906-0501	UTAH	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U27288	MEDICARE UPIN	UTAH

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: 4/28/2024

NPI Synchronization or Removal

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