Timothy Young, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C5587 Issued in AR

Practice address

195 Hospital Drive
Suite B
Cherokee Village, AR 72529

Phone

(870) 257-6000

Fax

(870) 257-7673

NPI assigned

Jan 23, 2006

Last updated

Mar 4, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1003886169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 HOSPITAL DRIVE",
            "address_2": "SUITE B",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "72529",
            "telephone_number": "870-257-6000",
            "fax_number": "870-257-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 HOSPITAL DRIVE",
            "address_2": "SUITE B",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "72529",
            "telephone_number": "870-257-6000",
            "fax_number": "870-257-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C5587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White River Health System,Inc. (North Complex Outpatient Surgery Center)
• Kathleen Ann Williams, LCSW
• Terry Jo Wolverton, RN
• Brandon Dale Womack, APRN
• Laura Ann Wood, LPN

• Family Medicine Physician in Cherokee Village, AR
• Providers in Cherokee Village, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.