Organization Active NPI

Steven Youngblood MD LLC

  • Internal Medicine Physician
  • Houma, LA
National Provider Identifier
1134441678
Registry record updated Sep 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
STEVEN YOUNGBLOOD MD LLC
Practice address
5467 W Park Ave
Apt 239
Houma, LA 70364-1364
Phone
(985) 209-3410
NPI assigned
Feb 25, 2010
Last updated
Sep 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2011

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

Authorized official

Name
Dr. Steven Michael Youngblood, M.D.
Title
President/Owner
Phone
(985) 209-3410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

5467 W Park Ave
Apt 239
Houma, LA 70364-1364

Mailing address

PO Box 1027
Houma, LA 70361-1027

Other identifiers 1

IdentifierTypeStateIssuer
1626970MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315008000000",
    "number": "1134441678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1027",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703611027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5467 W PARK AVE",
            "address_2": "APT 239",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703641364",
            "telephone_number": "985-209-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN YOUNGBLOOD MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2011-09-03",
        "status": "A",
        "authorized_official_last_name": "YOUNGBLOOD",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "985-209-3410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1626970",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2011; 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.