Plymouth Family Practice Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6405 Issued in NH

Legal business name

PLYMOUTH FAMILY PRACTICE CENTER

Practice address

1 Warren St
Plymouth, NH 03264-1416

Phone

(603) 536-2502

Fax

(603) 536-2503

NPI assigned

Mar 25, 2007

Last updated

Jan 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin I Young, M.D.

Title

Sole Proprietor

Phone

(603) 536-2502

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1194842922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WARREN ST",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641416",
            "telephone_number": "603-536-2502",
            "fax_number": "603-536-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WARREN ST",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641416",
            "telephone_number": "603-536-2502",
            "fax_number": "603-536-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH FAMILY PRACTICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-25",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "603-536-2502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "6405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3444",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005343",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "PLYMO80156",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Play to Learn OT Services, LLC
• Plymouth Area Recovery Connection
• Plymouth Chiropractic
• Plymouth Dental Group, PLLC
• Plymouth Dentistry & Implants, PLLC
• Plymouth General Dentistry, PLLC
• Plymouth General Dentistry, PLLC
• Plymouth Optical
• Plymouth School District
• Barbara Ann Pope

• Family Medicine Physician in Plymouth, NH
• Providers in Plymouth, NH by specialty
• Family Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.