Active NPI
Charles Francis Youngblood, M.D.
- Anesthesiology Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 200400178
- Practice address
- 601 N 30TH St
Omaha, NE 68131-2137 - Phone
- (402) 449-4970
- NPI assigned
- Apr 4, 2006
- Last updated
- May 29, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 200400178 | NC | Primary |
Addresses
Primary practice location
601 N 30TH St
Omaha, NE 68131-2137
Mailing address
10323 Brookside LN
Omaha, NE 68124-1839
Phone (402) 955-9937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Creighton University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CHI Health Clinic Physician Enterprise-Anesthesia LLC
Practice addresses (Care Compare)
1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3886
400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364
4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
7500 Mercy Rd
Suite 1355
Omaha, NE 68124-2319
Phone (402) 717-4866
800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (402) 717-4866
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200400178 | NC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Duluth Clinic, LTD. | Current | Accepting new patients | |
| Alegent Health - Mercy Hospital, Corning Iowa | Current | Accepting new patients | |
| CHI Health Clinic Physician Enterprise-Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Alegent Health Mercy Hospital Corning, Iowa | Current | Accepting new patients | |
| Alegent Health - Mercy Hospital, Corning, Iowa | Current | Accepting new patients | |
| The Duluth Clinic, LTD | Anesthesiology | Current | Accepting new patients |
| Alegent Health - Mercy Hospital, Corning Iowa | Current | Accepting new patients | |
| CHI Health Clinic Physician Enterprise-Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Alegent Creighton Clinic | Current | Accepting new patients | |
| CHI Health Clinic Specialty, LLC | Past | Accepting new patients | |
| Alegent Creighton Clinic | Past | Accepting new patients | |
| Creighton University | Anesthesiology | Past | Accepting new patients |
| Creighton University | Past | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
603 Rosary Dr
Corning, IA 50841
Phone (641) 322-3121
800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000
1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907
1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886
2771 Solution Ctr
Chicago, IL 60677
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
1101 9th St N
Virginia, MN 55792
Phone (218) 305-0000
6901 N 72nd St
Ste 22330
Omaha, NE 68122
Phone (402) 717-4673
7500 Mercy Rd
Ste 1355
Omaha, NE 68124
Phone (402) 717-4866
16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920
7710 Mercy Rd
Ste 426
Omaha, NE 68124
Phone (402) 343-8650
7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248
6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121
Interoperability endpoints
- cyoungblood416102@direct.unitypoint.org
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
-
dba Essentia Health Cloquet Clinic
- Multi-Specialty Clinic/Center
- Cloquet, MN
- NPI 1902563638
-
- Anesthesiology Physician
- Omaha, NE
- NPI 1356858419
-
dba CHI Health Mercy Corning
- Critical Access Hospital
- Corning, IA
- NPI 1699856260
-
dba CHI Health Clinic
- Family Medicine Physician
- Corning, IA
- NPI 1821134826
-
- Anesthesiology Physician
- Council Bluffs, IA
- NPI 1639687114
-
dba CHI Health Mercy Corning
- Medicare Defined Swing Bed Hospital Unit
- Corning, IA
- NPI 1134204613
-
dba CHI Health Mercy Corning
- Emergency Medicine Physician
- Corning, IA
- NPI 1649334574
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
dba Essentia Health Hinckley Pharmacy
- Community/Retail Pharmacy
- Hinckley, MN
- NPI 1245081066
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lasting Hope Recovery Center
- Psychiatric Hospital Unit
- Omaha, NE
- NPI 1396969499
-
dba CHI Health Creighton University Medical Center-Bergan Mercy
- General Acute Care Hospital
- Omaha, NE
- NPI 1508941097
-
dba Allen Hospital
- General Acute Care Hospital
- Waterloo, IA
- NPI 1336231091
-
dba Essentia Health St Marys Medical Center
- General Acute Care Hospital
- Duluth, MN
- NPI 1457393035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369785600000",
"number": "1346202447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10323 BROOKSIDE LN",
"city": "OMAHA",
"state": "NE",
"postal_code": "681241839",
"telephone_number": "402-955-9937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N 30TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312137",
"telephone_number": "402-449-4970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNGBLOOD",
"first_name": "CHARLES",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2013-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "200400178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.