Individual provider Active NPI

Courtney Younglove, M.D.

  • Obesity Medicine (Obstetrics & Gynecology) Physician
  • Overland Park, KS
National Provider Identifier
1013991413
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VB0002X
License
431079 Issued in KS
Practice address
14205 Metcalf Ave
Overland Park, KS 66223-3367
Phone
(913) 620-1616
Fax
(913) 624-3848
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 431079 KS
Obstetrics & Gynecology Physician 207V00000X 431079 KS
Obesity Medicine (Obstetrics & Gynecology) Physician 207VB0002X 431079 KS Primary

Addresses

Primary practice location

14205 Metcalf Ave
Overland Park, KS 66223-3367

Mailing address

7225 Gleason Rd
Shawnee, KS 66227-2223
Phone (913) 915-5004

Other practice location 1

11401 Nall Ave Ste 216
Leawood, KS 66211-1850
Phone (913) 620-1616

Other identifiers 2

IdentifierTypeStateIssuer
200326890AMedicaidKS
200326890BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
431079KSMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Weight Loss Obesity Medicine CurrentSince Apr 10, 2022 Accepting new patients
Midwest Hemorrhoid Treatment Center LLC Specialist PastSince Aug 1, 2022 Accepting new patients
College Park Family Care Center PA Obstetrics & Gynecology Past Accepting new patients
Midwest Women'S Care, P.a. Obstetrics & Gynecology Past Accepting new patients
Heartland Surgical Care LLC PastSince Apr 10, 2022 Accepting new patients
Complete Health Care Services PA Past Accepting new patients

Locations

11401 Nall Ave
Ste 216
Leawood, KS 66211
Phone (913) 541-0230

14205 Metcalf Ave
Overland Park, KS 66223
Phone (913) 620-1616

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1013991413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 GLEASON RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662272223",
            "telephone_number": "913-915-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14205 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662233367",
            "telephone_number": "913-620-1616",
            "fax_number": "913-624-3848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11401 Nall Ave Ste 216",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662111850",
            "country_code": "US",
            "telephone_number": "913-620-1616",
            "fax_number": "913-624-3848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNGLOVE",
        "first_name": "COURTNEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "431079",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "431079",
            "primary": false
        },
        {
            "code": "207VB0002X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obesity Medicine",
            "state": "KS",
            "license": "431079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200326890A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200326890B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.