Individual provider Active NPI

Daniel A Young, CRNA

  • Certified Registered Nurse Anesthetist
  • Upper Marlboro, MD
National Provider Identifier
1538465257
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R179091 Issued in MD
Practice address
14760 Main St
Suite 301
Upper Marlboro, MD 20772-3115
Phone
(301) 952-1370
NPI assigned
Jan 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R179091 MD Primary

Addresses

Primary practice location

14760 Main St
Suite 301
Upper Marlboro, MD 20772-3115

Mailing address

804 Scott Nixon Memorial Dr
Augusta, GA 30907-2464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110414000727 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264616416 Reassigns benefits to 5 organizations
I20161025002433 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264616416 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Anesthesiology Associate PA CurrentSince Sep 1, 2021 Accepting new patients
Surgical Anesthesia Associates, PLLC CurrentSince Sep 14, 2019 Accepting new patients
Anesthesia Company, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients
Dan Young Anesthesia PLLC CurrentSince Oct 26, 2023 Accepting new patients

Locations

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

5602 Baltimore National Pike
Ste 600
Catonsville, MD 21228
Phone (202) 669-9741

800 Prince Frederick Blvd
Prnc Frederck, MD 20678
Phone (410) 535-2270

70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040

966 Hungerford Dr
Ste 24
Rockville, MD 20850
Phone (202) 669-9741

8905 Fairview Rd
Silver Spring, MD 20910
Phone (888) 554-0631

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1538465257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SCOTT NIXON MEMORIAL DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14760 MAIN ST",
            "address_2": "SUITE 301",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723115",
            "telephone_number": "301-952-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DANIEL",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R179091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.