Mary Elizabeth Young, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

005049 Issued in AZ

Practice address

4730 E Indian School Rd
Suite 211
Phoenix, AZ 85018-5441

Phone

(602) 354-3491

Fax

(602) 595-8567

NPI assigned

Jul 19, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Miller Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Emergency Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Valley Ep PLLCGroup PAC ID 4880081785, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• East Valley Ep, PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Gilbert, AZ
  • NPI 1659039618
  Medicare reassignment Care Compare group NPD
• Sozo Lifestyle Medicine PLLC

  • General Practice Physician
  • Scottsdale, AZ
  • NPI 1669205795
  Medicare reassignment NPD Authorized official
• North Valley Emergency Specialists

  • Emergency Medicine Physician
  • Glendale, AZ
  • NPI 1285655209
  Medicare reassignment NPD
• Phoenix Physician Group, PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Mesa, AZ
  • NPI 1154898435
  Medicare reassignment NPD
• Emurgent Care PLLC

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1801997077
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Banner Thunderbird Medical Center

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1154355188
  Care Compare affiliation

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

{
    "created_epoch": "1216425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216425600000",
    "number": "1447415427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 E INDIAN SCHOOL RD",
            "address_2": "SUITE 211",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185441",
            "telephone_number": "602-354-3491",
            "fax_number": "602-595-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 E INDIAN SCHOOL RD",
            "address_2": "SUITE 211",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185441",
            "telephone_number": "602-354-3491",
            "fax_number": "602-595-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-19",
        "last_updated": "2008-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "005049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MILLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katie Patricia Young, DC
• Kristen J Young, D.O.
• Kristina Young, NP
• Laura Lynn Young, RN
• Lauren V Young, AGACNP
• Michael A Young, M.D.
• Michele Ann Young, MD
• Nancy NN Young
• Noelle Young, PT
• Rebecca Lea Young

• Emergency Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Emergency Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.