Active NPI
Susan E Young, DDS
- Dentist
- New Castle, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS036634
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1014835950004 | Medicaid | PA | |
| 1014835950003 | Medicaid | PA | |
| 2609449 | Medicaid | OH | |
| 1014835950001 | Medicaid | PA | |
| 1014835950005 | Medicaid | PA | |
| 1014835950006 | Medicaid | PA |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS036634 | PA | MD | Dentist |
| DS0000006900 | TN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Health Network | Current | Accepting new patients | |
| Primary Health Network | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Sharon, PA
- NPI 1417932609
-
- Federally Qualified Health Center (FQHC)
- Emlenton, PA
- NPI 1750181038
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.