NPIMap

Individual provider Active NPI

Paula S. Youngdahl, M.D.

  • Obstetrics & Gynecology Physician
  • East Stroudsburg, PA
National Provider Identifier
1053311449
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD036251E Issued in PA
Practice address
206 E Brown St
East Stroudsburg, PA 18301-3006
Phone
(570) 426-2700
NPI assigned
Jul 28, 2005
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD036251E PA Primary

Addresses

Primary practice location

206 E Brown St
East Stroudsburg, PA 18301-3006

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (484) 884-4500

Other practice location 1

2580 Constitution Blvd
Beaver Falls, PA 15010-1294
Phone (724) 843-0737

Other practice location 2

1245 S Cedar Crest Blvd Ste 201
Allentown, PA 18103-6258
Phone (610) 402-4870

Other identifiers 1

IdentifierTypeStateIssuer
1171970MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100624000091 PA Practitioner - Obstetrics/Gynecology 3577694256 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Perelman School of Med at the University of Pennsylvania, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1245 S Cedar Crest Blvd
201 LVPG Obstetrics and Gynecology
Allentown, PA 18103-6258
Phone (610) 402-4870

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Schuylkill Health System Medical Group, Inc. CurrentSince Aug 19, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Nov 3, 2017 Accepting new patients
Family Care Centers Inc CurrentSince Aug 5, 2024 Accepting new patients
Lehigh Valley Physician Group Obstetrics & Gynecology Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Nov 3, 2017 Accepting new patients
Schuylkill Health System Medical Group, Inc. Obstetrics & Gynecology CurrentSince Aug 19, 2024 Accepting new patients
Family Care Centers Inc. Obstetrics & Gynecology Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Aug 19, 2024 Accepting new patients
Hazleton Professional Services CurrentSince Aug 19, 2024 Accepting new patients
Pulmonary Associates PC Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1245 S Cedar Crest Blvd
Ste 201
Allentown, PA 18103
Phone (610) 402-4870

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

2100 Mack Blvd
Fl 4
Allentown, PA 18103

120 Burrus Blvd
Ste 200
Brodheadsville, PA 18322
Phone (570) 420-6300

179 Independence Rd
Ste 101
East Stroudsburg, PA 18301

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

600 Commerce Blvd
Stroudsburg, PA 18360
Phone (570) 424-7390

Interoperability endpoints

  • Direct secure messaging: pyoungdahl234615@direct2.lvhn.org

Organizations & group practices 12

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1053311449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-884-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E BROWN ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013006",
            "telephone_number": "570-426-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2580 Constitution Blvd",
            "address_purpose": "LOCATION",
            "city": "Beaver Falls",
            "state": "PA",
            "postal_code": "150101294",
            "country_code": "US",
            "telephone_number": "724-843-0737",
            "fax_number": "724-843-0833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1245 S Cedar Crest Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036258",
            "country_code": "US",
            "telephone_number": "610-402-4870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNGDAHL",
        "first_name": "PAULA",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD036251E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1171970",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.