NPIMap

Individual provider Active NPI

Stephanie S Young, D.O.

  • Family Medicine Physician
  • Ebensburg, PA
National Provider Identifier
1285604561
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS009334L Issued in PA
Practice address
171 Lovell Ave Ste 102
Ebensburg, PA 15931-1855
Phone
(814) 846-5972
Fax
(814) 846-5971
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS009334L PA Primary

Addresses

Primary practice location

171 Lovell Ave Ste 102
Ebensburg, PA 15931-1855

Mailing address

171 Lovell Ave Ste 102
Ebensburg, PA 15931-1855
Phone (814) 846-5972

Other identifiers 2

IdentifierTypeStateIssuer
0017461380002MedicaidPA
056175OtherGROUP BILLING PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050614001306 PA Practitioner - Family Practice 2365486941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians

Practice addresses (Care Compare)

171 Lovell Ave
Suite 102
Ebensburg, PA 15931-1855
Phone (814) 846-5972

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS009334LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Young Family Medicine PC Family Medicine CurrentSince Apr 9, 2022 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

171 Lovell Ave
Ste 102
Ebensburg, PA 15931
Phone (814) 846-5972

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIDHCD/Endpoint/FIDHCD

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 8

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1285604561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 LOVELL AVE STE 102",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159311855",
            "telephone_number": "814-846-5972",
            "fax_number": "814-846-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 LOVELL AVE STE 102",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159311855",
            "telephone_number": "814-846-5972",
            "fax_number": "814-846-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "STEPHANIE",
        "middle_name": "S",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS009334L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017461380002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BILLING PROVIDER #",
            "identifier": "056175",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ebensburg, PA

Sources for this page

Verify at the official NPI Registry.