Active NPI
Glenna Young, M.D.
- Diagnostic Radiology Physician
- Norman, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 13191
- Practice address
- 1125 N Porter Ave
Suite 100
Norman, OK 73071-6443 - Phone
- (405) 364-1071
- NPI assigned
- Nov 4, 2005
- Last updated
- Apr 27, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 13191 | OK | Primary |
Addresses
Primary practice location
1125 N Porter Ave
Suite 100
Norman, OK 73071-6443
Mailing address
PO Box 1387
Norman, OK 73070-1387
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300054737 | Other | OK | RR MEDICARE |
| 100252730B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 77.26 of 100
- Quality
- 53.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13191 | OK | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norman Radiology Services, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Kiowa County Hospital Authority | Current | Accepting new patients |
Locations
429 W Elm St
Hobart, OK 73651
Phone (580) 726-1900
1125 N Porter Ave
Ste 100
Norman, OK 73071
Phone (405) 360-6736
1125 N Porter Ave
Ste 104
Norman, OK 73071
Phone (405) 579-8675
901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500
4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
Interoperability endpoints
- gyoung57354@ouhealth.direct-ci.net
Organizations & group practices 4
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.
-
dba Elkview General Hospital
- Rural Acute Care Hospital
- Hobart, OK
- NPI 1699758086
-
dba Ou Health Partners
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
dba Southwest Radiology Associates
- Diagnostic Radiology Physician
- Norman, OK
- NPI 1326039645
-
dba OUHP Orthotics & Prosthetic
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272326400000",
"number": "1205827508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1387",
"city": "NORMAN",
"state": "OK",
"postal_code": "730701387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 N PORTER AVE",
"address_2": "SUITE 100",
"city": "NORMAN",
"state": "OK",
"postal_code": "730716443",
"telephone_number": "405-364-1071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "GLENNA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-04",
"last_updated": "2010-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OK",
"license": "13191",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "300054737",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100252730B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.