Daniel Davidovich Young, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

17331A Issued in WY

Practice address

469 Highway 50
Gillette, WY 82718-9330

Phone

(307) 387-9850

Fax

(307) 387-9890

NPI assigned

Jul 3, 2012

Last updated

Mar 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, WY2 enrollments

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 2

Specialty

Cardiac Surgery

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hoskinson Health and Wellness Clinic LLCGroup PAC ID 1153706346, 54 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Campbell County Health Hospital, Gillette, WY, CCN 530002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.davidovich.young.1@26742.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/26742/brand/1/csg/1/fhir/r4

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.

• Hoskinson Health & Wellness Clinic LLC

  • Multi-Specialty Clinic/Center
  • Gillette, WY
  • NPI 1376280750
  Medicare reassignment Care Compare group NPD
• Sea Mar Community Health Centers

  dba Sea Mar Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Aberdeen, WA
  • NPI 1811051170
  Medicare reassignment NPD
• Hoskinson Health & Wellness Clinic LLC

  dba Hoskinson Wound Care

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Gillette, WY
  • NPI 1003628611
  NPD
• Sea Mar Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Bellevue, WA
  • NPI 1568644714
  NPD
• Sea Mar Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Spanaway, WA
  • NPI 1922624642
  NPD

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

• Campbell County Hospital District

  • General Acute Care Hospital
  • Gillette, WY
  • NPI 1487638417
  Care Compare affiliation
• Campbell County Hospital District

  dba Powder River Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Gillette, WY
  • NPI 1780738153

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1457615544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W LAKEWAY RD STE 1004",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186349",
            "telephone_number": "307-387-9850",
            "fax_number": "307-387-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 HIGHWAY 50",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827189330",
            "telephone_number": "307-387-9850",
            "fax_number": "307-387-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDOVICH YOUNG",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD60814106",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WY",
            "license": "17331A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David K. Custis, PA-C
• Michelle Daigle, MA,LPC,CCC
• Barbara Lynne Daley, PSYD
• Daniel L Morin DDS Ms PC
• Kristi Lynn David, AA
• Davis ENT Specialists, PC
• Davis ENT Specialists, PC
• Davis Home Health LLC (Healing Hearts Home Health)
• Davis Hospice, LLC (Healing Hearts Hospice)
• Davis Outpatient Therapy LLC (Healing Hearts Home Health Outpatient Therapy)

• Cardiovascular Disease Physician in Gillette, WY
• Providers in Gillette, WY by specialty
• Cardiovascular Disease Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.