NPIMap

Individual provider Active NPI

Steven K Younger, M.D.

  • Family Medicine Physician
  • Neosho, MO
National Provider Identifier
1417050204
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2007015099 Issued in MO
Practice address
2550 Lusk Dr
Neosho, MO 64850-8855
Phone
(417) 451-2060
Fax
(417) 451-2164
NPI assigned
Sep 7, 2006
Last updated
Jan 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2007015099 MO Primary

Addresses

Primary practice location

2550 Lusk Dr
Neosho, MO 64850-8855

Mailing address

1701 W 26TH St
Steb
Joplin, MO 64804-1513
Phone (417) 627-8967

Other identifiers 2

IdentifierTypeStateIssuer
2007015099OtherMOLICENSE
206311706MedicaidMO

Other names 1

  • Steven K Younger Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gracie Chase Avery, LLC PastSince Dec 1, 2017 Accepting new patients
Alaska Family Health Centers, LLC Family Medicine PastSince Apr 3, 2017 Accepting new patients
Family Health Center, PC PastSince Mar 1, 2003 Accepting new patients
Tahlequah Medical Associates Family Medicine Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1417050204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W 26TH ST",
            "address_2": "STEB",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041513",
            "telephone_number": "417-627-8967",
            "fax_number": "417-627-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 LUSK DR",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648508855",
            "telephone_number": "417-451-2060",
            "fax_number": "417-451-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGER",
        "first_name": "STEVEN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2007015099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2007015099",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206311706",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVEN",
            "last_name": "YOUNGER",
            "middle_name": "K",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Neosho, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.