Young Arizona Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

33964 Issued in AZ

Legal business name

YOUNG ARIZONA PEDIATRICS LLC

Practice address

15653 N Reems Rd Ste 110
Surprise, AZ 85374-9541

Phone

(623) 214-3454

Fax

(623) 214-3455

NPI assigned

Aug 5, 2011

Last updated

Aug 5, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Denice M Young

Title

Administrator

Phone

(623) 214-3454

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Lawrence Young, M.D.

  • Pediatrics Physician
  • Surprise, AZ
  • NPI 1518995737
  NPD (past)

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1396024576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15653 N REEMS RD STE 110",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749541",
            "telephone_number": "623-214-3454",
            "fax_number": "623-214-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15653 N REEMS RD STE 110",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749541",
            "telephone_number": "623-214-3454",
            "fax_number": "623-214-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG ARIZONA PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DENICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-214-3454",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "33964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "954679",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maya Yassin
• William L Yates, MFT
• Frank Woodrow Yeargin Sr., LISAC
• Yuh-Ping Yen, PHARM D.
• Angelina Yepiz
• Brian Lawrence Young, M.D.
• Delores Dianne Young, LISAC
• Hannah Gabriel Young
• Lianna Young
• Lisa Marie Young, R.N.

• Pediatrics Physician in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.