MICHAEL JOHN YOUNG PA-C NPI 1750395125

NPI Information

  • NPI: 1750395125
  • Provider Name: MICHAEL JOHN YOUNG, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12670 CREEKSIDE LN
    STE 202
    FORT MYERS, FL
    ZIP 33919
  • Phone: (239) 482-2663

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NPI Details

Michael John Young, PA-C is a physician assistant in Fort Myers, FL with 25 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Michael John Young, PA-C NPI is 1750395125. 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:

12670 CREEKSIDE LN
STE 202
FORT MYERS, FL
ZIP 33919-370
Phone: (239) 482-2663
Fax: (239) 482-7585

The NPI 1750395125 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.

  • Prosthetic repair of shoulder joint, total shoulder (HCPCS:23472)
  • Shaving of part of shoulder bone and repair of ligament using an endoscope (HCPCS:29826)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Removal of extensive shoulder joint tissue using an endoscope (HCPCS:29823)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)

The enumeration date for this NPI number is 7/28/2006 and was last updated on 5/9/2025.

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
1363AM0700XPhysician AssistantMedicalPA9101912FLORIDANo
2363A00000XPhysician AssistantPA9101912FLORIDAYes

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
1284816OTHERFLORIDAAMERIGROUP
2292063800MEDICAIDFLORIDA

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: 11/21/2025

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