Mark D Young DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

MY001144 Issued in MI

Legal business name

MARK D YOUNG DPM

Practice address

405 S Mission St
Suite 2
Mt Pleasant, MI 48858-2878

Phone

(989) 772-3588

Fax

(989) 772-0469

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark D Young, DPM

Title

Podiatry

Phone

(989) 772-3588

Specialties & licenses 1

Addresses

Other identifiers 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mark D Young DPM

  • Foot & Ankle Surgery Podiatrist
  • Midland, MI
  • NPI 1457699266
  NPPES parent name

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1093997884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S MISSION ST",
            "address_2": "SUITE 2",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582878",
            "telephone_number": "989-772-3588",
            "fax_number": "989-772-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S MISSION ST",
            "address_2": "SUITE 2",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582878",
            "telephone_number": "989-772-3588",
            "fax_number": "989-772-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D YOUNG DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PODIATRY",
        "authorized_official_telephone_number": "989-772-3588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "MY001144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4853750000",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cari Maniteau, MA, LPC, CAADC
• Angel Manjarrez, PH.D., LPC
• Caitlin Mann
• Madhura Mansabdar, M.D.
• Alexis Sydney Marioth
• Haleigh Elizabeth Marshall
• Kathleen Martin, R.N., L.M.T.
• Sharyl Lynn Martin
• Jaedin Alece Martinez-Baker
• Brandy Corrine Martinez, BAA

• Foot & Ankle Surgery Podiatrist in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.