Individual provider Active NPI

Shara L Young, MD

  • Obstetrics & Gynecology Physician
  • Bradenton, FL
National Provider Identifier
1124072962
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME1245740 Issued in FL
Practice address
2318 Manatee Ave W
Bradenton, FL 34205-5432
Phone
(941) 714-7150
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0430027 KS
Obstetrics & Gynecology Physician 207V00000X ME1245740 FL Primary

Addresses

Primary practice location

2318 Manatee Ave W
Bradenton, FL 34205-5432

Mailing address

101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8812
Phone (941) 776-4000

Other practice location 1

2707 E 21st St N
Wichita, KS 67214-2249
Phone (316) 691-0249

Other identifiers 2

IdentifierTypeStateIssuer
200331160QMedicaidKS
200331160AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151118000871 FL Practitioner - Obstetrics/Gynecology 0143258491 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kansas School of Med (KC/Wich/Sal), 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHP of Manatee PAGroup PAC ID 5799016846, 45 clinicians

Practice addresses (Care Compare)

3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (813) 971-6000

Hospital & facility affiliations

  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME1245740FLMDObstetrics & Gynecology Physician
0430027KSMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Jul 25, 2022 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Aug 13, 2015 Accepting new patients
MCR Health, Inc. CurrentSince Jul 25, 2022 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Aug 13, 2015 Accepting new patients
DHP of Manatee PA Obstetrics & Gynecology CurrentSince Apr 1, 2024 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
Heartland Women'S Health, PA Obstetrics & Gynecology PastSince Aug 1, 2005 Accepting new patients

Locations

101 Riverfront Blvd
Ste 710
Bradenton, FL 34205

2318 Manatee Ave W
Bradenton, FL 34205
Phone (941) 714-7150

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010

Interoperability endpoints

  • Direct secure messaging: shara.young@direct.stjohnhealthsystem.com

Organizations & group practices 7

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.

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1124072962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERFRONT BLVD STE 710",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058812",
            "telephone_number": "941-776-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342055432",
            "telephone_number": "941-714-7150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2707 E 21st St N",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672142249",
            "country_code": "US",
            "telephone_number": "316-691-0249",
            "fax_number": "316-691-9939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "SHARA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "0430027",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME1245740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200331160Q",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200331160A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.