Young G. in, MD, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

E6435 Issued in TX

Legal business name

YOUNG G. IN, MD, PA

Practice address

3480 Fannin St Ste a
Beaumont, TX 77701-3804

Phone

(409) 833-7585

Fax

(409) 833-7760

NPI assigned

Dec 14, 2009

Last updated

Jun 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Young G In, MDNPI 1215933684

Title

President

Phone

(409) 833-7585

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Young G In, M.D.

  • Family Medicine Physician
  • Beaumont, TX
  • NPI 1215933684
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1457680811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 FANNIN ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013803",
            "telephone_number": "409-833-7585",
            "fax_number": "409-833-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 FANNIN ST STE A",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013804",
            "telephone_number": "409-833-7585",
            "fax_number": "409-833-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG G. IN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "IN",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-833-7585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "E6435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Carmona Yates, LPC
• Kristyn Michelle Yeager
• Tomi Yezak, RN,FNP
• Joshua Charles Yonker, MS, LAT, ATC
• Thomas E. York, CRNA
• Cryslynn Young
• Janna Yvette Young, RDN
• Kimberly Lavon Young
• Sage Young, M.S., LPC
• Sandra Catrice Young, LVN

• Primary Care Clinic/Center in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.