Organization Active NPI

Henry T. Young, Jr., M.D.

  • Primary Care Clinic/Center
  • Denham Springs, LA
National Provider Identifier
1669662946
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
016391 Issued in LA
Legal business name
HENRY T. YOUNG, JR., M.D.
Practice address
1286 Del Este Ave
Denham Springs, LA 70726-4898
Phone
(225) 667-3100
Fax
(225) 667-5443
NPI assigned
Aug 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Dr. Henry T Young Jr., M.DNPI 1528037819
Title
Business Owner/ Physician
Phone
(225) 667-3100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 016391 LA Primary

Addresses

Primary practice location

1286 Del Este Ave
Denham Springs, LA 70726-4898

Mailing address

1286 Del Este Ave
Denham Springs, LA 70726-4898
Phone (225) 667-3100

Other identifiers 1

IdentifierTypeStateIssuer
1338656MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1669662946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1286 DEL ESTE AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264898",
            "telephone_number": "225-667-3100",
            "fax_number": "225-667-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 DEL ESTE AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264898",
            "telephone_number": "225-667-3100",
            "fax_number": "225-667-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY T. YOUNG, JR., M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "BUSINESS OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "225-667-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "016391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1338656",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.