Clinton Young, M.D.
Individual provider Active NPI Sleep Medicine (Internal Medicine) Physician · Lafayette, LA
NPI 1346277449 · NPPES record last updated Mar 29, 2011
Key facts
- NPI
- 1346277449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sleep Medicine (Internal Medicine) Physician 207RS0012X
- License
- 013294 (LA)
- Practice address
- 2020 W Pinhook Rd
Suite 506
Lafayette, LA 70508-3290 - Phone
- (337) 504-3970
- Fax
- (337) 456-1512
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081015000546 | LA | Practitioner - Internal Medicine | 0143388405 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.013294 | LA | MD | Internal Medicine Physician |
| 013294 | LA | MD | Sleep Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acadiana Concern for AIDS Relief Education and Support, Inc. | Current |
Accepting new patients | |
| Lourdes Physician Group LLC | Past | Accepting new patients | |
| Acadiana Concern for AIDS Relief Education and Support, Inc. | Past | Accepting new patients | |
| Acadiana Cares Health | Past |
Accepting new patients |
Locations
809 Mlk Dr
Lafayette, LA 70501
Phone (337) 233-2437
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD.013294 | LA | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 013294 | LA | Yes |
Addresses
Primary practice location
2020 W Pinhook Rd
Suite 506
Lafayette, LA 70508-3290
Mailing address
2020 W Pinhook Rd
Suite 506
Lafayette, LA 70508-3290
Phone (337) 504-3970
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1181625 | Medicaid | LA |
Other providers in Lafayette, LA
- Mary Marelle Yongue
- Jacqueline Marie York
- Christy Yost
- Alaina M Young
- Christopher Young
- Ean Vincenzo Young
- Elizabeth D. Young
- Jessica Young
- Krystal Young
- Lauren Michelle Young
All providers in Lafayette, LA · Sleep Medicine (Internal Medicine) Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.