Donella S. Young, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00026777 Issued in WA

Practice address

100 3Rd St
Suite 1
Davenport, WA 99122-9730

Phone

(509) 725-7501

Fax

(509) 725-7504

NPI assigned

Jun 9, 2006

Sex

Female

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 6

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dyoung314528@wm.providencedirect.org

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.

• Lincoln County Hospital District 3

  • Rural Health Clinic/Center
  • Reardan, WA
  • NPI 1639113830

  Family Medicine

  Medicare reassignment NPD
• Lincoln County Hospital District #3

  • Rural Health Clinic/Center
  • Wilbur, WA
  • NPI 1972547610

  Family Medicine

  NPD
• Lincoln County Hospital District #3 / North Basin Medical Clinics

  • Family Medicine Physician
  • Davenport, WA
  • NPI 1053527853
  NPD
• Lincoln County Hospital District #3

  • Critical Access Hospital
  • Davenport, WA
  • NPI 1841234598
  NPD (past)
• Lincoln County Hospital District 3

  • General Acute Care Hospital
  • Davenport, WA
  • NPI 1013027218
  NPD (past)
• Lincoln County Hospital District 3

  • Skilled Nursing Facility
  • Davenport, WA
  • NPI 1093819211
  NPD (past)
• Lincoln County Hospital District 3

  • Rural Health Clinic/Center
  • Davenport, WA
  • NPI 1558309518

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1073554119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 3RD ST",
            "address_2": "SUITE 1",
            "city": "DAVENPORT",
            "state": "WA",
            "postal_code": "991229730",
            "telephone_number": "509-725-7501",
            "fax_number": "509-725-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 3RD ST",
            "address_2": "SUITE 1",
            "city": "DAVENPORT",
            "state": "WA",
            "postal_code": "991229730",
            "telephone_number": "509-725-7501",
            "fax_number": "509-725-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DONELLA",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00026777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8154353",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CJ6525",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080187185",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101132",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7117450",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF L & I",
            "identifier": "154736",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Vincent-Oconnor, BS, RDN, CPC
• Benjamin Isaac Wainblat, MD
• Kara Beth Wesebaum, LCSW
• Dawn Lorraine Wilcox, MS
• Michelle Lynn Wilkins, RN

• Family Medicine Physician in Davenport, WA
• Providers in Davenport, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.