Active NPI
Young Dermatology PLLC
- Dermatology Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- YOUNG DERMATOLOGY PLLC
- Practice address
- 805 Madison St Ste 703
Seattle, WA 98104-1172 - Phone
- (206) 456-4464
- Fax
- (206) 420-6851
- NPI assigned
- Sep 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alison Z Young, MD
- Title
- Owner
- Phone
- (206) 829-9178
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
805 Madison St Ste 703
Seattle, WA 98104-1172
Mailing address
805 Madison St Ste 703
Seattle, WA 98104-1172
Phone (206) 456-4464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2186644 | Young Dermatology PLLC | Compliance | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
805 Madison St
Ste 703
Seattle, WA 98104
Phone (206) 456-4464
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Seattle, WA
- NPI 1891734893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598918400000",
"number": "1467002907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 MADISON ST STE 703",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041172",
"telephone_number": "206-456-4464",
"fax_number": "206-420-6851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 MADISON ST STE 703",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041172",
"telephone_number": "206-456-4464",
"fax_number": "206-420-6851"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUNG DERMATOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-17",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "ALISON",
"authorized_official_middle_name": "Z",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "206-829-9178",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.