Individual provider Active NPI

Kathryn Young, MD

  • Obstetrics & Gynecology Physician
  • Marshall, MI
National Provider Identifier
1629288394
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301084659 Issued in MI
Practice address
139 West Mansion Street
Marshall, MI 49068-1167
Phone
(269) 248-6090
Fax
(269) 248-6095
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301084659 MI Primary

Addresses

Primary practice location

139 West Mansion Street
Marshall, MI 49068-1167

Mailing address

139 West Mansion Street
Marshall, MI 49068-1559
Phone (269) 248-6090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20080826000603 MI Practitioner - Obstetrics/Gynecology 7517032568 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Gynecology Specialist of Marshall PLLCGroup PAC ID 1557593712, 4 clinicians

Practice addresses (Care Compare)

139 W Mansion St
Marshall, MI 49068-1119
Phone (269) 248-6090

Hospital & facility affiliations

  • Oaklawn Hospital Hospital, Marshall, MI, CCN 230217
  • Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301084659MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Gynecology Specialist of Marshall PLLC Obstetrics & Gynecology CurrentSince Mar 17, 2014 Accepting new patients

Locations

139 W Mansion St
Marshall, MI 49068
Phone (269) 248-6090

Interoperability endpoints

  • Direct secure messaging: kathryn.young.1@8517.direct.athenahealth.com
  • Direct secure messaging: kyoung882699@direct.hfhs.org

Organizations & group practices 2

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.

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1629288394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 WEST MANSION STREET",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681559",
            "telephone_number": "269-248-6090",
            "fax_number": "269-248-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 WEST MANSION STREET",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681167",
            "telephone_number": "269-248-6090",
            "fax_number": "269-248-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301084659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MI

Sources for this page

Verify at the official NPI Registry.