Active NPI
Robbi a Young DPM PC
- Podiatrist
- Grand Haven, MI
National Provider Identifier
1063525533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5901002087
- Legal business name
- ROBBI A YOUNG DPM PC
- Practice address
- 600 Park Ave
Grand Haven, MI 49417-2173 - Phone
- (616) 846-3400
- Fax
- (616) 846-3406
- NPI assigned
- Aug 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robbi Anne Young, DPM
- Title
- Owner President
- Phone
- (616) 846-3400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5901002087 | MI | Primary |
Addresses
Primary practice location
600 Park Ave
Grand Haven, MI 49417-2173
Mailing address
600 Park Ave
Grand Haven, MI 49417-2173
Phone (616) 846-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
201 S Beacon Blvd
Grand Haven, MI 49417
Phone (616) 846-3400
600 Park Ave
Ste 3
Grand Haven, MI 49417
Phone (616) 846-3400
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Grand Haven, MI
- NPI 1992786214
-
- Foot & Ankle Surgery Podiatrist
- Wyoming, MI
- NPI 1104347178
-
- Podiatrist
- Grand Haven, MI
- NPI 1285620351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292198400000",
"number": "1063525533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 PARK AVE",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494172173",
"telephone_number": "616-846-3400",
"fax_number": "616-846-3406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 PARK AVE",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494172173",
"telephone_number": "616-846-3400",
"fax_number": "616-846-3406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBBI A YOUNG DPM PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-17",
"last_updated": "2010-12-13",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "ROBBI",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "OWNER PRESIDENT",
"authorized_official_telephone_number": "616-846-3400",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "MI",
"license": "5901002087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.