Individual provider Active NPI

Susan E Young, DDS

  • Dentist
  • New Castle, PA
National Provider Identifier
1225015126
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS036634 Issued in PA
Practice address
2807 Wilmington Rd
New Castle, PA 16105-1263
Phone
(724) 656-3486
Fax
(724) 598-7337
NPI assigned
Dec 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS0000006900 TN
Dentist 122300000X DS036634 PA Primary

Addresses

Primary practice location

2807 Wilmington Rd
New Castle, PA 16105-1263

Mailing address

100 Shenango Ave
Sharon, PA 16146-1503
Phone (724) 656-3486

Other practice location 1

590 Indian Springs Rd
Indiana, PA 15701-3600
Phone (724) 465-6100

Other practice location 2

30 Pinnacle Dr
Clarion, PA 16214-3800
Phone (814) 223-9906

Other practice location 3

350 Sharon New Castle Rd
Farrell, PA 16121-1576
Phone (724) 981-1721

Other practice location 4

176 Virginia Ave
Rochester, PA 15074-1723
Phone (724) 683-3049

Other identifiers 6

IdentifierTypeStateIssuer
1014835950004MedicaidPA
1014835950003MedicaidPA
2609449MedicaidOH
1014835950001MedicaidPA
1014835950005MedicaidPA
1014835950006MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181126001249 PA Practitioner - Dentist 6002137791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Texas Medical Branch at Galveston, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health NetworkGroup PAC ID 9234046228, 64 clinicians

Practice addresses (Care Compare)

5594 State Route 7
Andover, OH 44003-9490
Phone (440) 293-2444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS036634PAMDDentist
DS0000006900TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Network CurrentSince Oct 1, 2018 Accepting new patients
Primary Health Network CurrentSince Oct 1, 2018 Accepting new patients

Locations

30 Pinnacle Dr
Clarion, PA 16214
Phone (814) 223-9900

350 Sharon New Castle Rd
Farrell, PA 16121
Phone (724) 981-1721

2000 Green St
Farrell, PA 16121
Phone (724) 342-6600

590 Indian Springs Rd
Indiana, PA 15701
Phone (724) 465-2230

2807 Wilmington Rd
New Castle, PA 16105
Phone (724) 250-9140

176 Virginia Ave
Rochester, PA 15074
Phone (724) 770-9095

63 Pitt St
Sharon, PA 16146
Phone (724) 342-6604

100 Shenango Ave
Sharon, PA 16146
Phone (724) 704-8886

Interoperability endpoints

  • Direct secure messaging: susanyoung@primaryhn.medalliesdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1225015126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHENANGO AVE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161461503",
            "telephone_number": "724-656-3486",
            "fax_number": "724-598-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 WILMINGTON RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051263",
            "telephone_number": "724-656-3486",
            "fax_number": "724-598-7337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Indian Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Indiana",
            "state": "PA",
            "postal_code": "157013600",
            "country_code": "US",
            "telephone_number": "724-465-6100",
            "fax_number": "724-465-6110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Pinnacle Dr",
            "address_purpose": "LOCATION",
            "city": "Clarion",
            "state": "PA",
            "postal_code": "162143800",
            "country_code": "US",
            "telephone_number": "814-223-9906",
            "fax_number": "814-223-9912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Sharon New Castle Rd",
            "address_purpose": "LOCATION",
            "city": "Farrell",
            "state": "PA",
            "postal_code": "161211576",
            "country_code": "US",
            "telephone_number": "724-981-1721",
            "fax_number": "724-981-7025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "176 Virginia Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "PA",
            "postal_code": "150741723",
            "country_code": "US",
            "telephone_number": "724-683-3049",
            "fax_number": "724-683-3050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS0000006900",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS036634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014835950004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014835950003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2609449",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014835950001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014835950005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014835950006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

Verify at the official NPI Registry.