Timothy P Young, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

7003109-1205 Issued in UT

Practice address

31 N Redwood Rd Ste 2
North Salt Lake, UT 84054-2787

Phone

(801) 441-1002

Fax

(801) 441-1005

NPI assigned

Jun 9, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15988/brand/1/csg/1/fhir/r4

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.

• Apollo Health Centers

  • General Practice Physician
  • Murray, UT
  • NPI 1366986721
  Medicare reassignment NPD
• Onsite Care Clinics, Inc.

  • Primary Care Clinic/Center
  • North Salt Lake, UT
  • NPI 1215310024
  NPD (past)
• Onsite Care Inc

  • Internal Medicine Physician
  • South Jordan, UT
  • NPI 1518250109
  NPD (past)
• Westech Wellness Center

  • Primary Care Clinic/Center
  • Salt Lake City, UT
  • NPI 1184093924
  NPD (past)
• Yasa LLC

  • Chiropractor
  • Salt Lake City, UT
  • NPI 1245642966
  NPD (past)

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1558520189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 W 50 N STE 500",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841011025",
            "telephone_number": "801-441-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 N REDWOOD RD STE 2",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840542787",
            "telephone_number": "801-441-1002",
            "fax_number": "801-441-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TIMOTHY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "7003109-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wasatch Front Wellness, PLLC
• Curtis Wayne Watson, LCSW MSW
• Stacey Diane Welsher, PHD
• Weyo
• Amy K Wood, ARNP

• Family Medicine Physician in North Salt Lake, UT
• Providers in North Salt Lake, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.