Individual provider Active NPI

Thomas Young, M.D.

  • Hematology & Oncology Physician
  • Meadville, PA
National Provider Identifier
1255337259
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD039841E Issued in PA
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

Updated by the provider on Mar 30, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
50006869OtherKYPASSPORT
64000920MedicaidKY
13802780MedicaidCO
830000259OtherKYRAILROAD MEDICARE
1255337259MedicaidUT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130307000427 PA Practitioner - Hematology 8426184953 Reassigns benefits to 1 organization

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
Meadville Medical CenterGroup PAC ID 4284535790, 139 clinicians

Practice addresses (Care Compare)

16792 Conneaut Lake Rd
Meadville, PA 16335-3748
Phone (814) 373-2335

Hospital & facility affiliations

  • Hospice of Crawford County Inc Hospice, Meadville, PA, CCN 391540
  • Titusville Area Hospital Hospital, Titusville, PA, CCN 391314
  • Meadville Medical Center Hospital, Meadville, PA, CCN 390113
  • Warren General Hospital Hospital, Warren, PA, CCN 391319
  • Warren General Hospital Hospital, Warren, PA, CCN 390146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR49094COMDHematology & Oncology Physician
MD039841EPAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meadville Medical Center CurrentSince Jan 28, 2013 Accepting new patients
Meadville Medical Center Hematology & Oncology CurrentSince Jan 28, 2013 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.