Provider Type Icon

ANNA MELYNNE YOUNGBLOOD MD NPI 1730163619


NPI Information

NPI: 1730163619
Provider Name: ANNA MELYNNE YOUNGBLOOD, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

Organization: CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER

PECOS Registration: Yes

Address:
19320 US ROUTE 11
WATERTOWN, NY
ZIP 13601
Phone: (315) 786-0254
Get Directions

Anna Melynne Youngblood, MD is a pulmonary disease internal medicine in Watertown, NY with 33 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Anna Melynne Youngblood, MD NPI is 1730163619. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:1991

The provider's business location address is:

19320 US ROUTE 11
WATERTOWN, NY
ZIP 13601-337
Phone: (315) 786-0254
Fax: (315) 786-0976

The NPI 1730163619 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Sleep monitoring of patient (6 years or older) in sleep lab (HCPCS:95810)

The enumeration date for this NPI number is 12/3/2005 and was last updated on 9/26/2011.


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
1207RP1001XInternal MedicinePulmonary Disease254932NEW YORKYes

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
1BA1418MEDICARE PINNEW YORK
202958634MEDICAIDNEW YORK

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

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.