Active NPI
Scott a. Young M.D., PSC
- Internal Medicine Physician
- Louisville, KY
National Provider Identifier
1114935319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 32052
- Legal business name
- SCOTT A. YOUNG M.D., PSC
- Practice address
- 12010 Shelbyville Rd
Suite 300
Louisville, KY 40243-1054 - Phone
- (502) 244-9355
- Fax
- (502) 244-9577
- NPI assigned
- Aug 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott A. Young, M.D.
- Title
- President
- Phone
- (502) 244-9355
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 32052 | KY | Primary |
Addresses
Primary practice location
12010 Shelbyville Rd
Suite 300
Louisville, KY 40243-1054
Mailing address
PO Box 436256
Louisville, KY 40253-6256
Phone (502) 244-9355
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G78602 | Other | KY | UPIN |
| 5459438 | Other | AETNA PROVIDER ID | |
| P00202026 | Other | KY | RAILROAD MEDICARE ID |
| 000000337192 | Other | ANTHEM PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1104018977
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1710179585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718582400000",
"number": "1114935319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 436256",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402536256",
"telephone_number": "502-244-9355",
"fax_number": "502-244-9577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12010 SHELBYVILLE RD",
"address_2": "SUITE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402431054",
"telephone_number": "502-244-9355",
"fax_number": "502-244-9577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT A. YOUNG M.D., PSC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-03",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "502-244-9355",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "KY",
"license": "32052",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "G78602",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER ID",
"identifier": "5459438",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE ID",
"identifier": "P00202026",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER ID",
"identifier": "000000337192",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.