Organization Active NPI

Robert R. Young, M.D. P.a.

  • Ophthalmology Physician
  • Daytona Beach, FL
National Provider Identifier
1225307424
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ROBERT R. YOUNG, M.D. P.A.
Practice address
163 E International Speedway Blvd
Daytona Beach, FL 32118-4648
Phone
(386) 253-4207
Fax
(386) 258-8033
NPI assigned
Dec 19, 2011
Last updated
Feb 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Authorized official

Name
Robert Young, M.D.
Title
President
Phone
(386) 253-4207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

163 E International Speedway Blvd
Daytona Beach, FL 32118-4648

Mailing address

163 E International Speedway Blvd
Daytona Beach, FL 32118-4648
Phone (386) 253-4207

National Provider Directory

National Provider Directory

Locations

163 E International Speedway Blvd
Daytona Beach, FL 32118
Phone (386) 253-4207

NPI Registry JSON

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1225307424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 E INTERNATIONAL SPEEDWAY BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184648",
            "telephone_number": "386-253-4207",
            "fax_number": "386-258-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 E INTERNATIONAL SPEEDWAY BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184648",
            "telephone_number": "386-253-4207",
            "fax_number": "386-258-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT R. YOUNG, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-253-4207",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.