Active NPI
Susan Blythe Young, DO
- Surgery Physician
- Pryor, OK
National Provider Identifier
1467430496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 3799
- Practice address
- 1301 NE 1St St
Suite 200
Pryor, OK 74361-8850 - Phone
- (918) 824-7767
- Fax
- (918) 824-6410
- NPI assigned
- Jan 9, 2006
- Last updated
- Mar 18, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 3799 | OK | Primary |
Addresses
Primary practice location
1301 NE 1St St
Suite 200
Pryor, OK 74361-8850
Mailing address
1831 E 71St St
Tulsa, OK 74136-3922
Phone (918) 824-7773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200064490A | Medicaid | OK |
Other names 1
- Susan B Findley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma State University | Past | Accepting new patients | |
| Mayes County HMPN, LLC | Surgery | Past | Accepting new patients |
| Rural Health Resources of Jackson Co Inc | Past | Accepting new patients |
Interoperability endpoints
- syoung114368@direct.phs.org
Organizations & group practices 3
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.
-
dba General Surgery Clinic of Pryor
- Surgery Physician
- Pryor, OK
- NPI 1508112210
-
dba OSU Physicians Clinical Laboratory
- Clinical Medical Laboratory
- Tulsa, OK
- NPI 1326495433
-
dba Family Practice Associates
- Rural Health Clinic/Center
- Holton, KS
- NPI 1639145204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1467430496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1831 E 71ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741363922",
"telephone_number": "918-824-7773",
"fax_number": "918-824-6410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 NE 1ST ST",
"address_2": "SUITE 200",
"city": "PRYOR",
"state": "OK",
"postal_code": "743618850",
"telephone_number": "918-824-7767",
"fax_number": "918-824-6410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "SUSAN",
"middle_name": "BLYTHE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-09",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "3799",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200064490A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "FINDLEY",
"middle_name": "B",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pryor, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.