Robert L. Youngblood, M.D.,P.C.

Primary specialty

Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X

License

150842-1205 Issued in UT

Legal business name

ROBERT L. YOUNGBLOOD, M.D.,P.C.

Practice address

880 E 9400 S
Suite 111
Sandy, UT 84094-3667

Phone

(801) 571-4007

Fax

(801) 571-4145

NPI assigned

Nov 13, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Lee Youngblood Sr., M.D.

Title

Medical Doctor

Phone

(801) 571-4007

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1003143942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 E 9400 S",
            "address_2": "SUITE 111",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943667",
            "telephone_number": "801-571-4007",
            "fax_number": "801-571-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 E 9400 S",
            "address_2": "SUITE 111",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943667",
            "telephone_number": "801-571-4007",
            "fax_number": "801-571-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L. YOUNGBLOOD, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "YOUNGBLOOD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "801-571-4007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "UT",
            "license": "150842-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Eve Rizzardi, MD
• Edward Robbins, MS, PHARMD
• Jeff Robe, H.I.S.
• Chandra Lee Roberson, MC, LPC
• Robert B. McBeath MD Professional Corporation
• Robert W Later MD PC
• Anne Hollingsworth Roberts, APRN
• Devin C Robinson
• Mark Christian Robison, MD
• Kayleigh Simone Robles

• Plastic Surgery Physician in Sandy, UT
• Providers in Sandy, UT by specialty
• Plastic Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.