Active NPI
Paul R. Young MD PLLC
- Otolaryngology Physician
- Amherst, NY
National Provider Identifier
1245675669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 268372-1
- Legal business name
- PAUL R. YOUNG MD PLLC
- Practice address
- 4955 N Bailey Ave
Suite 202
Amherst, NY 14226-1206 - Phone
- (716) 242-8240
- Fax
- (716) 674-6070
- NPI assigned
- Apr 30, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul Raymond Young, MD
- Title
- Owner
- Phone
- (716) 242-8240
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 268372-1 | NY | Primary |
Addresses
Primary practice location
4955 N Bailey Ave
Suite 202
Amherst, NY 14226-1206
Mailing address
4955 N Bailey Ave
Suite 202
Amherst, NY 14226-1206
Phone (716) 242-8240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4955 N Bailey Ave
Ste 202
Buffalo, NY 14226
Phone (716) 832-8500
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- NPI 1184858458
-
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- NPI 1457234031
-
- Medical Physician Assistant
- Buffalo, NY
- NPI 1689242109
-
- Physician Assistant
- Amherst, NY
- NPI 1104355973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480982400000",
"number": "1245675669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4955 N BAILEY AVE",
"address_2": "SUITE 202",
"city": "AMHERST",
"state": "NY",
"postal_code": "142261206",
"telephone_number": "716-242-8240",
"fax_number": "716-674-6070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4955 N BAILEY AVE",
"address_2": "SUITE 202",
"city": "AMHERST",
"state": "NY",
"postal_code": "142261206",
"telephone_number": "716-242-8240",
"fax_number": "716-674-6070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL R. YOUNG MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-30",
"last_updated": "2016-12-06",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "RAYMOND",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "716-242-8240",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "NY",
"license": "268372-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.