Active NPI
Mark R Young MD PC
- Anesthesiology Physician
- Glenwood Springs, CO
National Provider Identifier
1255432811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 44904
- Legal business name
- MARK R YOUNG MD PC
- Practice address
- 1906 Blake Ave
Glenwood Springs, CO 81601-4227 - Phone
- (970) 945-6535
- NPI assigned
- Sep 26, 2006
- 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
- Mark R Young, MD
- Title
- Owner
- Phone
- (970) 945-1443
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 44904 | CO | Primary |
Addresses
Primary practice location
1906 Blake Ave
Glenwood Springs, CO 81601-4227
Mailing address
PO Box 2708
Glenwood Springs, CO 81602-2708
Phone (970) 945-1443
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192060800000",
"number": "1255432811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2708",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816022708",
"telephone_number": "970-945-1443",
"fax_number": "970-947-9410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906 BLAKE AVE",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816014227",
"telephone_number": "970-945-6535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK R YOUNG MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2007-10-11",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-945-1443",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CO",
"license": "44904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenwood Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.