Organization Active NPI

Mark D Young DPM

  • Foot & Ankle Surgery Podiatrist
  • Midland, MI
National Provider Identifier
1457699266
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MY0011474 Issued in MI
Legal business name
MARK D YOUNG DPM
Doing business as
Mark D Young DPM
Practice address
225 N Saginaw Rd
Midland, MI 48640-3350
Phone
(989) 832-5114
Fax
(989) 832-0149
NPI assigned
Jan 29, 2013
Last updated
Jan 29, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
MARK D YOUNG DPMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Dr. Mark D Young, DPMNPI 1043247976
Title
Owner
Phone
(989) 772-3588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X MY0011474 MI Primary

Addresses

Primary practice location

225 N Saginaw Rd
Midland, MI 48640-3350

Mailing address

225 N Saginaw Rd
Midland, MI 48640-3350
Phone (989) 832-5114

Other names 1

  • Mark D Young DPM Doing business as

National Provider Directory

National Provider Directory
Part of
Mark D Young DPM

Locations

225 N Saginaw Rd
Midland, MI 48640
Phone (989) 832-5114

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1457699266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N SAGINAW RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486403350",
            "telephone_number": "989-832-5114",
            "fax_number": "989-832-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N SAGINAW RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486403350",
            "telephone_number": "989-832-5114",
            "fax_number": "989-832-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D YOUNG DPM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARK D YOUNG DPM",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-772-3588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "MY0011474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark D Young DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.