Active NPI
Angeline A Young, MD
- Diagnostic Radiology Physician
- Woodbury, MN
National Provider Identifier
1356320030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 44876
- Practice address
- 3547 Crestmoor Dr
Woodbury, MN 55125-5028 - Phone
- (952) 595-1100
- Fax
- (612) 294-4903
- NPI assigned
- Jan 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 44876 | MN | Primary |
Addresses
Primary practice location
3547 Crestmoor Dr
Woodbury, MN 55125-5028
Mailing address
11995 Singletree LN
Suite 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301
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 |
|---|---|---|---|
| 44876 | MN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Radiology Network P C | Diagnostic Radiology | Past | Accepting new patients |
| St. Vincent Health Wellness and Preventive Care Institute, Inc. | Past | Accepting new patients | |
| Midwest Radiology Outpatient Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Virtual Radiologic Professionals, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Midwest Radiology, PA | Diagnostic Radiology | Past | Accepting new patients |
| St Vincent Northwest Radiology LLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Diagnostic Radiology Physician
- Saint Paul, MN
- NPI 1720059264
-
- Diagnostic Radiology Physician
- Roseville, MN
- NPI 1952307175
-
- Diagnostic Radiology Physician
- Edina, MN
- NPI 1932342029
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1447259338
-
- Diagnostic Radiology Physician
- Fishers, IN
- NPI 1114978350
-
- Occupational Medicine Physician
- Indianapolis, IN
- NPI 1710300033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1356320030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11995 SINGLETREE LN",
"address_2": "SUITE 500",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553445347",
"telephone_number": "952-595-1301",
"fax_number": "612-294-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3547 CRESTMOOR DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551255028",
"telephone_number": "952-595-1100",
"fax_number": "612-294-4903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "ANGELINE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-11",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "44876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.