Active NPI
Karlon K H Young, MD
- Anesthesiology Physician
- Concord, NC
National Provider Identifier
1063507556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 31413
- Practice address
- 920 Church St N
Concord, NC 28025-2927 - Phone
- (704) 403-1430
- Fax
- (704) 403-1158
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 31413 | NC | Primary |
Addresses
Primary practice location
920 Church St N
Concord, NC 28025-2927
Mailing address
PO Box 2000
Concord, NC 28026-2000
Phone (704) 403-1430
Other practice location 1
1025 NE Gateway Ct NE
Concord, NC 28025
Phone (704) 920-7020
Other practice location 2
8800 N Tryon St
Charlotte, NC 28262
Phone (704) 863-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00285882 | Other | NC | RR MEDICARE |
| 89825 | Other | NC | BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31413 | NC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amsol Physicians of Elkin NC | Anesthesiology | Past | Accepting new patients |
| Lake Norman Anesthesia Associates | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Elkin, NC
- NPI 1801989504
-
- Specialist
- Mooresville, NC
- NPI 1386753457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1063507556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2000",
"city": "CONCORD",
"state": "NC",
"postal_code": "280262000",
"telephone_number": "704-403-1430",
"fax_number": "704-403-1158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 CHURCH ST N",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252927",
"telephone_number": "704-403-1430",
"fax_number": "704-403-1158"
}
],
"practiceLocations": [
{
"address_1": "1025 NE Gateway Ct NE",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "28025",
"country_code": "US",
"telephone_number": "704-920-7020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8800 N Tryon St",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "28262",
"country_code": "US",
"telephone_number": "704-863-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "KARLON",
"middle_name": "K H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "31413",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00285882",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "89825",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.