Active NPI
Amy Youngyeun, M.D.
- Hospitalist Physician
- Columbia, MO
National Provider Identifier
1285892570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 2011023198
- Practice address
- 1600 East Broadway
Boone Hospital Center
Columbia, MO 65202 - Phone
- (573) 815-6000
- Fax
- (573) 815-8377
- NPI assigned
- May 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R-8321 | IA | |
| Hospitalist Physician | 208M00000X | 2011023198 | MO | Primary |
Addresses
Primary practice location
1600 East Broadway
Boone Hospital Center
Columbia, MO 65202
Mailing address
1600 East Broadway
Boone Hospital Center
Columbia, MO 65202
Phone (573) 815-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-8321 | IA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1285892570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 EAST BROADWAY",
"address_2": "BOONE HOSPITAL CENTER",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65202",
"telephone_number": "573-815-6000",
"fax_number": "573-815-8377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 EAST BROADWAY",
"address_2": "BOONE HOSPITAL CENTER",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65202",
"telephone_number": "573-815-6000",
"fax_number": "573-815-8377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNGYEUN",
"first_name": "AMY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-23",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "R-8321",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MO",
"license": "2011023198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.