J. Shan Young, MD LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

15920 Issued in AL

Legal business name

J. SHAN YOUNG, MD LLC

Doing business as

J. Shan Young, MD LLC

Practice address

409 E 10TH St
Anniston, AL 36207-4780

Phone

(256) 435-1399

Fax

(256) 435-1911

NPI assigned

Mar 29, 2018

Last updated

Mar 29, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia B Young, RN

Title

Office Manager

Phone

(256) 435-1399

Specialties & licenses 1

Addresses

Other names 1

• J. Shan Young, MD LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12011/brand/1/csg/1/fhir/r4

Practitioners 1

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.

• Johnny Shan Young, MD

  • Specialist
  • Anniston, AL
  • NPI 1508830340
  Medicare reassignment NPD

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1245735349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8061",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362028061",
            "telephone_number": "256-435-1399",
            "fax_number": "256-435-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E 10TH ST",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074780",
            "telephone_number": "256-435-1399",
            "fax_number": "256-435-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. SHAN YOUNG, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-435-1399",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AL",
            "license": "15920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J. Shan Young, MD LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Intellimed Solutions, LLC
• Internal Medicine Associates, P.C.
• Dylan Isenhower
• Mohammad Fateh Ismail, MD
• Sapphire A Israel
• Betty Hill Jackson, M.S.,CCC-A
• Pamela Dean Reaves Jackson, CRNP
• Stacy Harkins Jackson, LICSW
• Wayne Paul Jackson, LCSW,PIP,CEAP
• James L Finley Dentistry

• Gynecology Physician in Anniston, AL
• Providers in Anniston, AL by specialty
• Gynecology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.

Verify at the official NPI Registry.