Gwendolyn Virginia Youngblood, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0047050 Issued in MD

Practice address

7525 Greenway Center Dr
Suite 311
Greenbelt, MD 20770-3509

Phone

(301) 441-4555

Fax

(301) 441-3420

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15431/brand/1/csg/1/fhir/r4

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.

• Gwendolyn V Youngblood, MD, PC

  • Pediatrics Physician
  • Greenbelt, MD
  • NPI 1578035135
  NPD (past) Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235224452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 GREENWAY CENTER DR",
            "address_2": "SUITE 311",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703509",
            "telephone_number": "301-441-4555",
            "fax_number": "301-441-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 GREENWAY CENTER DR",
            "address_2": "SUITE 311",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703509",
            "telephone_number": "301-441-4555",
            "fax_number": "301-441-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "GWENDOLYN",
        "middle_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0047050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Yoon, D.D.S.
• Cedric Yopa
• Janae Nariko Yoshida, RD
• Danielle Young, LCSW-C
• Ivor Conrad Young, MT
• Your Health Network, Inc. (Evergreen Health Care)
• Your Health Network, Inc. (Evergreen Health Care)
• Ivan Ngang Zama, M.D.
• Amy Zawatsky
• Robert Richard Zebrowski, DDS

• Pediatrics Physician in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.