Individual provider Active NPI

Jason M Young, M.D.

  • Ophthalmology Physician
  • North Canton, OH
National Provider Identifier
1679004121
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35143092 Issued in OH
Practice address
5890 Mayfair Rd
North Canton, OH 44720-1547
Phone
(330) 305-2200
NPI assigned
Mar 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35143092 OH Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

5890 Mayfair Rd
North Canton, OH 44720-1547

Mailing address

5890 Mayfair Rd
North Canton, OH 44720-1547
Phone (330) 305-2200

Other practice location 1

1160 W Michigan St
Indianapolis, IN 46202-5209
Phone (317) 274-2128

Other practice location 2

697 Thomas Ln
Columbus, OH 43214-3931
Phone (614) 566-5414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210826001977 OH Practitioner - Ophthalmology 9234409707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Toronto, Faculty of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roholt Vision Institute IncGroup PAC ID 0143204388, 6 clinicians

Practice addresses (Care Compare)

5890 Mayfair Rd
North Canton, OH 44720-1547
Phone (330) 305-2200

Hospital & facility affiliations

  • Aultman Hospital Hospital, Canton, OH, CCN 360084

Merit-based Incentive Payment System (MIPS)

Final score
87.76 of 100Reported as group
Quality
100
Improvement activities
40
Cost
59.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery276

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roholt Vision Institute Inc Ophthalmology Current Accepting new patients
Roholt Vision Institute Inc Ophthalmology CurrentSince Aug 9, 2021 Accepting new patients
Roholt Vision Instititute Inc Ophthalmology Current Accepting new patients

Locations

1207 W State St
Alliance, OH 44601
Phone (330) 451-1310

1207 W State St
Ste E
Alliance, OH 44601
Phone (330) 821-2012

25 Manor Hill Dr
Canfield, OH 44406
Phone (330) 702-8755

5890 Mayfair Rd
Green, OH 44720
Phone (330) 305-2200

Interoperability endpoints

  • Direct secure messaging: jyoung@roholt.intellechartdirect.net

Organizations & group practices 3

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 1

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": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1679004121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5890 MAYFAIR RD",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201547",
            "telephone_number": "330-305-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5890 MAYFAIR RD",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201547",
            "telephone_number": "330-305-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 W Michigan St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025209",
            "country_code": "US",
            "telephone_number": "317-274-2128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "697 Thomas Ln",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432143931",
            "country_code": "US",
            "telephone_number": "614-566-5414",
            "fax_number": "614-533-0433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JASON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35143092",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

Verify at the official NPI Registry.