Byron G. Young M.D. Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD2553 Issued in HI

Legal business name

BYRON G. YOUNG M.D. INC

Practice address

1109 Young St
Suite 104
Honolulu, HI 96814-1990

Phone

(808) 589-1777

NPI assigned

Jan 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Byron Goon Neu Young, M.D.NPI 1104971688

Title

President

Phone

(808) 589-1777

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FEHJAA

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Byron Goon Neu Young, M.D.

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1104971688
  Medicare reassignment NPD Authorized official
• Kraig L Young, M.D.

  • Gastroenterology Physician
  • Honolulu, HI
  • NPI 1093058943
  NPD

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629123138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 YOUNG ST",
            "address_2": "SUITE 104",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141990",
            "telephone_number": "808-589-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 YOUNG ST",
            "address_2": "SUITE 104",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141990",
            "telephone_number": "808-589-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYRON G. YOUNG M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "GOON NEU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-589-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD2553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034902 01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.