Individual provider Active NPI

Glenna Young, M.D.

  • Diagnostic Radiology Physician
  • Norman, OK
National Provider Identifier
1205827508
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
13191 Issued in OK
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, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
300054737OtherOKRR MEDICARE
100252730BMedicaidOK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050701000510 OK Practitioner - Diagnostic Radiology 6800830084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.26 of 100Reported as group
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

LicenseStateTypeSpecialty
13191OKMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Radiology Services, Inc Diagnostic Radiology Current Accepting new patients
Ou Health Partners, Inc CurrentSince Aug 30, 2024 Accepting new patients
Ou Health Partners, Inc CurrentSince Aug 30, 2024 Accepting new patients
Kiowa County Hospital Authority CurrentSince Jan 1, 2014 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.