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JOHN G YOUNG MD NPI 1538249479


NPI Information

NPI: 1538249479
Provider Name: JOHN G YOUNG, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

CLIA Number: 45D0878146

Address:
6210 JOHN RYAN DR
STE 109
FORT WORTH, TX
ZIP 76132
Phone: (817) 361-7494
Get Directions

John G Young, MD is a pediatrics in Fort Worth, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. John G Young, MD NPI is 1538249479. 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:

6210 JOHN RYAN DR
STE 109
FORT WORTH, TX
ZIP 76132-113
Phone: (817) 361-7494
Fax: (817) 361-0705

The CLIA number assigned to this NPI record is 45D0878146 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 10/29/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsG8527TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14525787OTHERTEXASAETNA PIN
282Y880OTHERTEXASBCBSTX IND PIN
3132731OTHERTEXASUHC PIN
42917579OTHERTEXASCIGNA PIN
51416762OTHERTEXASFIRSTHEALTH PIN
6YOUJE76947OTHERTEXASCCHIP PIN
7E76947MEDICARE UPIN

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

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.