Active NPI
Elaine M Young, MD
- Dermatology Physician
- Huntington, WV
National Provider Identifier
1376528356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 16077
- Practice address
- 1411 6TH Ave
Huntington, WV 25701-2420 - Phone
- (304) 525-6132
- Fax
- (304) 697-0471
- NPI assigned
- Dec 13, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 16077 | WV | Primary |
| Dermatology Physician | 207N00000X | 21723 | SC |
Addresses
Primary practice location
1411 6TH Ave
Huntington, WV 25701-2420
Mailing address
1411 6TH Ave
Huntington, WV 25701
Phone (304) 525-6132
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0069955000 | Medicaid | WV | |
| 001721516 | Other | BLUE CROSS BLUE SHIELD | |
| 550724241 | Other | COMMERCIAL INSURANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- JC Edwards School of Medicine, Marshall University, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1411 6TH Ave
Huntington, WV 25701-2420
Phone (304) 525-6132
Hospital & facility affiliations
- St Marys Medical Center
- Cabell Huntington Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 67 |
| Removal of skin lesions | 642 |
| Removal or shaving of skin growth | 94 |
| Skin biopsy | 37 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16077 | WV | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elaine M Young MD Inc | Dermatology | Current | Accepting new patients |
Locations
1411 6th Ave
Huntington, WV 25701
Phone (304) 525-6132
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.
-
- Dermatology Physician
- Huntington, WV
- NPI 1699970335
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1073518007
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1164492195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1376528356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 6TH AVE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "25701",
"telephone_number": "304-525-6132",
"fax_number": "304-697-0471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 6TH AVE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257012420",
"telephone_number": "304-525-6132",
"fax_number": "304-697-0471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "ELAINE",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-13",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WV",
"license": "16077",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "SC",
"license": "21723",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0069955000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "001721516",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL INSURANCE",
"identifier": "550724241",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.