Active NPI
Thomas Young, M.D.
- Hematology & Oncology Physician
- Meadville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD039841E
- Practice address
- 16792 Conneaut Lake Rd
Meadville, PA 16335-3748 - Phone
- (814) 373-2335
- Fax
- (814) 373-2338
- NPI assigned
- Jun 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | DR49094 | CO | |
| Hematology & Oncology Physician | 207RH0003X | 29292 | KY | |
| Hematology & Oncology Physician | 207RH0003X | MD039841E | PA | Primary |
Addresses
Primary practice location
16792 Conneaut Lake Rd
Meadville, PA 16335-3748
Mailing address
1034 Grove St
Meadville, PA 16335-2945
Phone (814) 373-2335
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50006869 | Other | KY | PASSPORT |
| 64000920 | Medicaid | KY | |
| 13802780 | Medicaid | CO | |
| 830000259 | Other | KY | RAILROAD MEDICARE |
| 1255337259 | Medicaid | UT |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology
- Education
- Temple University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16792 Conneaut Lake Rd
Meadville, PA 16335-3748
Phone (814) 373-2335
Hospital & facility affiliations
- Hospice of Crawford County Inc
- Titusville Area Hospital
- Meadville Medical Center
- Warren General Hospital
- Warren General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR49094 | CO | MD | Hematology & Oncology Physician |
| MD039841E | PA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meadville Medical Center | Current | Accepting new patients | |
| Meadville Medical Center | Hematology & Oncology | Current | Accepting new patients |
| Meadville Medical Center | Past | Accepting new patients |
Locations
16792 Conneaut Lake Rd
Meadville, PA 16335
Phone (814) 373-2335
751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081
1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728
16792 Conneaut Lake Rd
#G
Meadville, PA 16335
Phone (814) 373-2335
406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851
Interoperability endpoints
- thomas.j.young@directaddress.net
Organizations & group practices 3
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.
-
- Hematology & Oncology Physician
- Meadville, PA
- NPI 1326139775
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Meadville, PA
- NPI 1639067804
-
- General Acute Care Hospital
- Meadville, PA
- NPI 1942276423
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Meadville, PA
- NPI 1629045059
-
- General Acute Care Hospital
- Meadville, PA
- NPI 1942276423
-
- Critical Access Hospital
- Titusville, PA
- NPI 1891899332
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Warren, PA
- NPI 1376497362
-
- General Acute Care Hospital
- Warren, PA
- NPI 1659360220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522368000000",
"number": "1255337259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1034 GROVE ST",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163352945",
"telephone_number": "814-373-2335",
"fax_number": "814-373-2338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16792 CONNEAUT LAKE RD",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163353748",
"telephone_number": "814-373-2335",
"fax_number": "814-373-2338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "THOMAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2018-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CO",
"license": "DR49094",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "KY",
"license": "29292",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "PA",
"license": "MD039841E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50006869",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64000920",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13802780",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "830000259",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255337259",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meadville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.