Mary Jo Young, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD2023-1249 Issued in NM

Practice address

Holy Cross Medical Center Primary Care Clinic
1329 Gusdorf Road
Taos, NM 87571

Phone

(575) 737-3416

Fax

(575) 737-3416

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO, OH, TX, MN, NM5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 5

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Taos Professional Services,LLC

  • Surgery Physician
  • Taos, NM
  • NPI 1891070777
  Medicare reassignment NPD
• Cirrusmd Medical Group of Delaware, P.a.

  • Family Medicine Physician
  • Denver, CO
  • NPI 1922664200

  MN, OH

  Medicare reassignment NPD
• Cmdpn Medical Group of Texas, P.a.

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1174082150
  Medicare reassignment
• Taos Professional Services, LLC

  • General Practice Physician
  • Taos, NM
  • NPI 1235597964
  NPD
• Critical Care Pulmonary and Sleep Associates Professional LLP

  • Critical Care Medicine (Internal Medicine) Physician
  • Lakewood, CO
  • NPI 1437100039
  NPD (past)
• Harvard Park Internal Medicine Prof LLC

  • Internal Medicine Physician
  • Denver, CO
  • NPI 1972545515
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1386771954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HOLY CROSS MEDICAL CENTER PRIMARY CARE CLINIC",
            "address_2": "1329 GUSDORF ROAD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "87571",
            "telephone_number": "575-737-3415",
            "fax_number": "575-737-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOLY CROSS MEDICAL CENTER PRIMARY CARE CLINIC",
            "address_2": "1329 GUSDORF ROAD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "87571",
            "telephone_number": "575-737-3416",
            "fax_number": "575-737-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MARY JO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2023-1249",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "37019",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95673768",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine M Worman, FSS
• Breawnna Blaesing Wunder, RN
• Victoria Lynn Wyszynski, PH.D.
• Kimberly Megan Yankee, LMT
• Tze-Seun Yong, M.D.
• Rory Yurkovich, D.D.S.
• Pamela Yven, CFNP
• Don C Zablosky, LPC-S, LMFT-S, NCC
• Autumn Zamora
• Brenda Zamora

• Internal Medicine Physician in Taos, NM
• Providers in Taos, NM by specialty
• Internal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.