Organization Active NPI

St Francis Physician Services

Doing business as Marcela Young, MD

  • Internal Medicine Physician
  • Greenville, SC
National Provider Identifier
1073837191
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ST FRANCIS PHYSICIAN SERVICES
Doing business as
Marcela Young, MD
Practice address
2 Innovation Dr
Suite 180
Greenville, SC 29607-5261
Phone
(864) 255-1800
NPI assigned
Mar 18, 2010
Last updated
Mar 18, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
ST FRANCIS PHYSICIAN SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Authorized official

Name
Mrs. Betsy Pearson
Title
Cfo
Phone
(864) 255-1537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2 Innovation Dr
Suite 180
Greenville, SC 29607-5261

Mailing address

PO Box 25039
Greenville, SC 29616-0039
Phone (864) 255-1800

Other names 1

  • Marcela Young, MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050126000259 SC Part B Supplier - Clinic/Group Practice 6608826821 Receives reassigned benefits from 258 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Greenville, SC; Simpsonville, SC; Greer, SC; Mauldin, SC; Taylors, SC; Travelers Rest, SC; Easley, SC; Clemson, SC…

National Provider Directory

National Provider Directory
Part of
Carolina Orthopaedic Center

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1073837191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25039",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296160039",
            "telephone_number": "864-255-1800",
            "fax_number": "864-255-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 INNOVATION DR",
            "address_2": "SUITE 180",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075261",
            "telephone_number": "864-255-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS PHYSICIAN SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST FRANCIS PHYSICIAN SERVICES",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "864-255-1537",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marcela Young, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.

Verify at the official NPI Registry.