NPIMap

Individual provider Active NPI

Alan Michael Young, M.D.

  • Family Medicine Physician
  • Wyoming, MI
National Provider Identifier
1083935894
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301103879 Issued in MI
Practice address
950 36TH St SW
Wyoming, MI 49509-3587
Phone
(616) 685-3300
Fax
(616) 685-3303
NPI assigned
Jun 15, 2010
Last updated
Jan 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01070411A IN
Family Medicine Physician 207Q00000X 4301103879 MI Primary

Addresses

Primary practice location

950 36TH St SW
Wyoming, MI 49509-3587

Mailing address

1900 44TH St SE
Kentwood, MI 49508-5008

Other practice location 1

650 Linden St
Suite 1
Big Rapids, MI 49307-1879
Phone (231) 796-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20140113001136 MI Practitioner - Family Practice 3971763145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10047 Crossroad CT SE
Caledonia, MI 49316-7316
Phone (616) 685-8850

3380 44TH St SW
Grandville, MI 49418-2461
Phone (616) 685-8250

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01070411AINMDFamily Medicine Physician
4301103879MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Saint Mary's Medical Group CurrentSince Jan 1, 2018 Accepting new patients
Mecosta County Medical Center CurrentSince Aug 26, 2013 Accepting new patients
Mecosta County Medical Center Family Medicine CurrentSince Aug 26, 2013 Accepting new patients
Advantage Health/Saint Mary's Medical Group CurrentSince Jan 1, 2018 Accepting new patients
Mecosta County Medical Center Current Accepting new patients
Advantage Health Saint Mary's Medical Group Past Accepting new patients

Locations

605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079

650 Linden St
Ste 1
Big Rapids, MI 49307
Phone (231) 796-3200

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

3380 44th St SW
Grandville, MI 49418
Phone (616) 685-8250

950 36th St SW
Wyoming, MI 49509
Phone (616) 320-0405

Organizations & group practices 6

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 2

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": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1083935894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 44TH ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495085008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 36TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495093587",
            "telephone_number": "616-685-3300",
            "fax_number": "616-685-3303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Linden St",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Big Rapids",
            "state": "MI",
            "postal_code": "493071879",
            "country_code": "US",
            "telephone_number": "231-796-3200",
            "fax_number": "231-796-5562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ALAN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-15",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01070411A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301103879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

Verify at the official NPI Registry.