Active NPI
Donald G Nunlist Young, M.D.
- Family Medicine Physician
- Cincinnati, OH
National Provider Identifier
1104879873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35039349
- Practice address
- 3805 Edwards Rd Ste 360
Cincinnati, OH 45209-1934 - Phone
- (513) 871-7848
- Fax
- (513) 871-3278
- NPI assigned
- May 17, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35039349 | OH | Primary |
Addresses
Primary practice location
3805 Edwards Rd Ste 360
Cincinnati, OH 45209-1934
Mailing address
3805 Edwards Rd Ste 360
Cincinnati, OH 45209-1934
Phone (513) 871-7848
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0317302 | Medicaid | OH | |
| 64765035 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dnunlistyoung1687@direct.thechristhospital.com | Direct |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Christ Hospital Medical Associates, III | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
3805 Edwards Rd
Ste 360
Cincinnati, OH 45209
Phone (513) 321-0833
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1578862843
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1104879873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3805 EDWARDS RD STE 360",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452091934",
"telephone_number": "513-871-7848",
"fax_number": "513-871-3278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 EDWARDS RD STE 360",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452091934",
"telephone_number": "513-871-7848",
"fax_number": "513-871-3278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNLIST YOUNG",
"first_name": "DONALD",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35039349",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0317302",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64765035",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dnunlistyoung1687@direct.thechristhospital.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3805 Edwards Rd Ste 360",
"city": "Cincinnati",
"state": "OH",
"country_code": "US",
"postal_code": "452091934",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.