NPIMap

Individual provider Active NPI

Stephen E Young, DO

  • Family Medicine Physician
  • Eustis, FL
National Provider Identifier
1306844964
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS9170 Issued in FL
Practice address
1850 Prevatt St
Eustis, FL 32726-6123
Phone
(352) 253-2511
Fax
(352) 253-2522
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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 OS9170 FL Primary

Addresses

Primary practice location

1850 Prevatt St
Eustis, FL 32726-6123

Mailing address

1850 Prevatt St
Eustis, FL 32726-6123
Phone (352) 253-2511

Other identifiers 1

IdentifierTypeStateIssuer
272928800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20041229000830 FL Practitioner - Family Practice 4587622006 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

Practice addresses (Care Compare)

1850 Prevatt St
Eustis, FL 32726-6123
Phone (352) 253-2511

Hospital & facility affiliations

  • Pinnacle Home Care of the Villages Inc Home health agency, The Villages, FL, CCN 109702
  • Adventhealth Home Health Home health agency, Leesburg, FL, CCN 107155
  • Rehab at Home Home health agency, Leesburg, FL, CCN 109503
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Adventhealth Waterman Hospital, Tavares, FL, CCN 100057
  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • Edgewater at Waterman Village Nursing home, Mount Dora, FL, CCN 105796
  • Avante at Mt Dora, Inc Nursing home, Mount Dora, FL, CCN 105333

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Family Medical Center, PA Family Medicine CurrentSince Jun 9, 2005 Accepting new patients

Locations

1707 Mayo Dr
Tavares, FL 32778
Phone (352) 253-2511

Organizations & group practices 1

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 12

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1306844964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 PREVATT ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266123",
            "telephone_number": "352-253-2511",
            "fax_number": "352-253-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 PREVATT ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266123",
            "telephone_number": "352-253-2511",
            "fax_number": "352-253-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "STEPHEN",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272928800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

Verify at the official NPI Registry.