Nguyen Tien Young, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

20319 Issued in KY

Practice address

1004 Woodland Dr
Elizabethtown, KY 42701-2748

Phone

(270) 737-3866

Fax

(270) 737-3868

NPI assigned

Dec 27, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nguyen Tien Dung Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1427035914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 WOODLAND DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012748",
            "telephone_number": "270-737-3866",
            "fax_number": "270-737-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 WOODLAND DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012748",
            "telephone_number": "270-737-3866",
            "fax_number": "270-737-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "NGUYEN",
        "middle_name": "TIEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "KY",
            "license": "20319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64203193",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NGUYEN",
            "last_name": "DUNG",
            "middle_name": "TIEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Camilla Ann York
• Alice Theresa Young
• Jessica Young, LCSW
• Kate I Young, MD
• Kendra Nicole Young, INTERN
• William B Young, CSA
• Kiro John Yun, MD
• Sarah Zika, PHARMD
• Amanda Zimmerman, PT
• Zipclinic, PSC

• Endocrinology, Diabetes & Metabolism Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Endocrinology, Diabetes & Metabolism Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.

Verify at the official NPI Registry.