Active NPI
Austin Victor Young, PA-C
- Physician Assistant
- Lincoln, NE
National Provider Identifier
1093047441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1495
- Practice address
- 575 S 70TH St Ste 200
Lincoln, NE 68510-2471 - Phone
- (402) 488-3322
- Fax
- (402) 488-1172
- NPI assigned
- Feb 10, 2010
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1495 | NE | Primary |
Addresses
Primary practice location
575 S 70TH St Ste 200
Lincoln, NE 68510-2471
Mailing address
575 S 70TH St Ste 200
Lincoln, NE 68510-2471
Phone (402) 488-3322
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
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421971200000",
"number": "1093047441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 S 70TH ST STE 200",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102471",
"telephone_number": "402-488-3322",
"fax_number": "402-488-1172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 S 70TH ST STE 200",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102471",
"telephone_number": "402-488-3322",
"fax_number": "402-488-1172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "AUSTIN",
"middle_name": "VICTOR",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-10",
"last_updated": "2015-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "1495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.