Individual provider Active NPI

Christopher Young Way, D.O.

  • Neurology Physician
  • Reno, NV
National Provider Identifier
1598024515
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
DO176520 Issued in OR
Practice address
75 Pringle Way Ste 401
Reno, NV 89502-1476
Phone
(775) 982-5000
Fax
(775) 982-2973
NPI assigned
May 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X DO2823 NV
Neurology Physician 2084N0400X 13317 CA
Neurology Physician 2084N0400X DO176520 OR Primary

Addresses

Primary practice location

75 Pringle Way Ste 401
Reno, NV 89502-1476

Mailing address

1155 Mill St # M14
Reno, NV 89502-1576
Phone (775) 982-5262

Other practice location 1

1033 Los Palos Dr Ste A
Salinas, CA 93901-3916
Phone (831) 757-2058

Other identifiers 2

IdentifierTypeStateIssuer
14322903OtherNVCAQH #
DO2823OtherNVNV DO LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160509000122 OR Practitioner - Neurology 1456579267 Reassigns benefits to 2 organizations
I20190219001454 CA Practitioner - Neurology 1456579267 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1162 Montgomery Dr
Suite 300
Santa Rosa, CA 95405-4802
Phone (707) 890-4250

Hospital & facility affiliations

  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174
  • Sutter Santa Rosa Regional Hospital Hospital, Santa Rosa, CA, CCN 050291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO2823NVMDNeurology Physician
DO176520ORMDNeurology Physician
13317CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Health CurrentSince Sep 20, 2023 Accepting new patients
Legacy Clinics LLC CurrentSince Sep 20, 2023 Accepting new patients
Providence Medical Foundation CurrentSince Dec 2, 2024 Accepting new patients
Svmhs Clinics Neurology CurrentSince Feb 7, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Dec 13, 2023 Accepting new patients
Silverton Health CurrentSince Sep 20, 2023 Accepting new patients
Legacy Clinics LLC CurrentSince Sep 20, 2023 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Dec 13, 2023 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Silverton Health Current Accepting new patients
Providence Medical Foundation CurrentSince Dec 2, 2024 Accepting new patients
Svmhs Clinics CurrentSince Feb 7, 2024 Accepting new patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients

Locations

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

1033 Los Palos Dr
Ste A
Salinas, CA 93901
Phone (831) 242-8645

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

1162 Montgomery Dr
Ste 300
Santa Rosa, CA 95405
Phone (707) 890-4250

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

2800 N Vancouver Ave
Ste 130
Portland, OR 97227
Phone (503) 276-6110

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

19260 SW 65th Ave
Ste 280
Tualatin, OR 97062
Phone (503) 413-6166

2121 NE 139th St
Ste 205
Vancouver, WA 98686
Phone (360) 487-4707

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Interoperability endpoints

  • Direct secure messaging: cway162774@direct.renown.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1598024515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # M14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PRINGLE WAY STE 401",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021476",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-2973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1033 Los Palos Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939013916",
            "country_code": "US",
            "telephone_number": "831-757-2058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAY",
        "first_name": "CHRISTOPHER",
        "middle_name": "YOUNG",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-10",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "DO2823",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "13317",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "DO176520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH #",
            "identifier": "14322903",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV DO LIC",
            "identifier": "DO2823",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.