Active NPI
John G Young, MD
- Pediatrics Physician
- Fort Worth, TX
National Provider Identifier
1538249479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G8527
- Practice address
- 6210 John Ryan Dr
Ste 109
Fort Worth, TX 76132-4113 - Phone
- (817) 361-7494
- Fax
- (817) 361-0705
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | G8527 | TX | Primary |
Addresses
Primary practice location
6210 John Ryan Dr
Ste 109
Fort Worth, TX 76132-4113
Mailing address
6210 John Ryan Dr
Ste 109
Fort Worth, TX 76132-4113
Phone (817) 361-7494
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2917579 | Other | TX | CIGNA PIN |
| 1416762 | Other | TX | FIRSTHEALTH PIN |
| 132731 | Other | TX | UHC PIN |
| 4525787 | Other | TX | AETNA PIN |
| 82Y880 | Other | TX | BCBSTX IND PIN |
| YOUJE76947 | Other | TX | CCHIP PIN |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G8527 | TX | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351468800000",
"number": "1538249479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6210 JOHN RYAN DR",
"address_2": "STE 109",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761324113",
"telephone_number": "817-361-7494",
"fax_number": "817-361-0705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6210 JOHN RYAN DR",
"address_2": "STE 109",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761324113",
"telephone_number": "817-361-7494",
"fax_number": "817-361-0705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JOHN",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2012-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "G8527",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PIN",
"identifier": "2917579",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTHEALTH PIN",
"identifier": "1416762",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC PIN",
"identifier": "132731",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "4525787",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX IND PIN",
"identifier": "82Y880",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCHIP PIN",
"identifier": "YOUJE76947",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.