Gavin S Young, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

M7978 Issued in ID

Practice address

1919 Lincoln Way
Suite 415
Coeur D Alene, ID 83814-2527

Phone

(208) 625-4595

Fax

(208) 625-4596

NPI assigned

Nov 7, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gyoung627452@direct.multicare.org
• Direct secure messaging: cwood@khgi.gwaydirect.com

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.

• Kutteruf and Robinson MD PA

  • Cardiovascular Disease Physician
  • Coeur D Alene, ID
  • NPI 1619029824

  Gastroenterology

  NPD (past)
• R. Randy Hopkins M.D. P.a

  • Gastroenterology Physician
  • Coeur D'Alene, ID
  • NPI 1871758805
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1629147103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 KOOTENAI HEALTH WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838146051",
            "telephone_number": "208-625-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 LINCOLN WAY",
            "address_2": "SUITE 415",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142527",
            "telephone_number": "208-625-4595",
            "fax_number": "208-625-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "GAVIN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ID",
            "license": "M7978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805774200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David P York, M.D.
• Denis Russell Yost, R PH
• Angela Renee Youmans, NP
• Alexis Corrine Young, PHARMD
• Caitlyn Elise Young
• Jill Seddon Young
• Marybeth Young
• Richard A Young, DPT
• Sheena Satoko Young, FNP
• Timothy Young, LPC

• Gastroenterology Physician in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Gastroenterology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.