Steven M Young, DO

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

0S005942L Issued in PA

Practice address

1130 Highway 315
Wilkes Barre, PA 18702-6952

Phone

(570) 823-8896

Fax

(570) 823-1291

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, 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.

• Renal Consultants of Wyoming Valley PC

  • Nephrology Physician
  • Wilkes Barre, PA
  • NPI 1659399111
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447347018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 HIGHWAY 315",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026952",
            "telephone_number": "570-823-8896",
            "fax_number": "570-823-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 HIGHWAY 315",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026952",
            "telephone_number": "570-823-8896",
            "fax_number": "570-823-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "STEVEN",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "0S005942L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001224518",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael M Yori, CRNP
• Gary William York, DO
• Kristena Yossef, MD
• Bonnie Tong Young, ACNP
• Olivia Young
• Tyler William Young
• Shakeel Yousaf, MD
• Ysd Services LLC
• Yu Song Kao MDPC
• Xiangru Yuan

• Nephrology Physician in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Nephrology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.