Active NPI
Amy E Youn, MD
- Pediatrics Physician
- Troy, MI
National Provider Identifier
1477537157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301074308
- Practice address
- 755 W Big Beaver Rd Ste 1200
Troy, MI 48084-4908 - Phone
- (248) 273-7700
- Fax
- (248) 273-7701
- NPI assigned
- Dec 6, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301074308 | MI | Primary |
Addresses
Primary practice location
755 W Big Beaver Rd Ste 1200
Troy, MI 48084-4908
Mailing address
890 Stanley Blvd
Birmingham, MI 48009-1628
Phone (248) 561-5727
Other names 1
- Amy E Wolfe
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301074308 | MI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1477537157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 STANLEY BLVD",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480091628",
"telephone_number": "248-561-5727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 W BIG BEAVER RD STE 1200",
"city": "TROY",
"state": "MI",
"postal_code": "480844908",
"telephone_number": "248-273-7700",
"fax_number": "248-273-7701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUN",
"first_name": "AMY",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-06",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301074308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "WOLFE",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.