Active NPI
Victor C. Young, D.O.
- Emergency Medicine Physician
- Orlando, FL
National Provider Identifier
1205822087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS8339
- Practice address
- 11550 University Blvd
Orlando, FL 32817-2100 - Phone
- (407) 282-2044
- Fax
- (407) 658-1596
- NPI assigned
- Sep 27, 2005
- Last updated
- Aug 12, 2009
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS8339 | FL | Primary |
Addresses
Primary practice location
11550 University Blvd
Orlando, FL 32817-2100
Mailing address
11550 University Blvd
Orlando, FL 32817-2100
Phone (407) 282-2044
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25010 | Other | FL | BLUE CROSS BLUE SHIELD |
| 261375100 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS8339 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brevard Physician Associates, PLLC | Emergency Medicine | Current | Accepting new patients |
| Florida Emergency Physicians Kang and Associates MD LLC | Emergency Medicine | Current | Accepting new patients |
| Webster Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Locations
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
Interoperability endpoints
- vyoung71589@epicdirect.hf.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1598008955
Emergency Medicine
-
- Emergency Medical Services (Emergency Medicine) Physician
- Orlando, FL
- NPI 1811983752
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Orlando, FL
- NPI 1629189410
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1851339998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250035200000",
"number": "1205822087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11550 UNIVERSITY BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328172100",
"telephone_number": "407-282-2044",
"fax_number": "407-658-1596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11550 UNIVERSITY BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328172100",
"telephone_number": "407-282-2044",
"fax_number": "407-658-1596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "VICTOR",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2009-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "OS8339",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "25010",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "261375100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.