Mark D Young, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

MY001144 Issued in MI

Practice address

405 S Mission
Ste 2
Mt Pleasant, MI 48858

Phone

(989) 772-3588

Fax

(989) 772-3588

NPI assigned

Jun 27, 2006

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

Other identifiers 1

Other names 1

• Mark D Young Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Mark D Young DPM

  • Foot & Ankle Surgery Podiatrist
  • Midland, MI
  • NPI 1457699266
  NPD (past) Authorized official

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1043247976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S MISSION",
            "address_2": "STE 2",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-772-3588",
            "fax_number": "989-772-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S MISSION",
            "address_2": "STE 2",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-772-3588",
            "fax_number": "989-772-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "MY001144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4853750000",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "YOUNG",
            "middle_name": "D",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christian Zared Yaw
• Vicki Lee Yazzie, BA, LBSW, QMHP,QMRP,
• Abigail Yon
• Sarah A Yonder, M.D.
• Straum Erik Yorton, ATC
• Maryissa Eileen Young
• Carrie Youssef, COTA
• Zachary Kanjuparamban MDPC
• Sarah Zajac
• Jeffrey Lee Zarr, O.D,

• Podiatrist in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.