James W Young III, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME40695 Issued in FL

Practice address

996 Fairview Ave
Mount Dora, FL 32757-3740

Phone

(352) 729-2399

NPI assigned

Oct 26, 2005

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jamesyoung@uicfla.medalliesdirect.net

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.

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  Medicare reassignment NPD
• Lake Sumter Urology, LLC

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  NPD (past)
• Vantage Radiation Oncology Associates LLC

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  NPD (past)

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1669462925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "996 FAIRVIEW AVE",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327573740",
            "telephone_number": "352-729-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "996 FAIRVIEW AVE",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327573740",
            "telephone_number": "352-729-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JAMES",
        "middle_name": "W",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME40695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053441200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pei-CHI Yen, D.O.M., A.P.
• Yhn 1, LLC
• Kayla Yodzis
• Sarah Katherine Yoho, PA-C
• Jacara Young
• Marcus Young Jr.
• Shatevia Tamiracle Young
• Ariela Zagorini
• Ferdousi Zaman
• Waheeduz Zaman, M.D.

• Urology Physician in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.