Active NPI
Philip A Young, MD
- Otolaryngology Physician
- Bellevue, WA
National Provider Identifier
1679669782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A74959
- Practice address
- 1810 116TH Ave NE Ste 102
Bellevue, WA 98004-3058 - Phone
- (425) 990-3223
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | A74959 | WA | Primary |
| Otology & Neurotology Physician | 207YX0901X | A74959 | WA |
Addresses
Primary practice location
1810 116TH Ave NE Ste 102
Bellevue, WA 98004-3058
Mailing address
1810 116TH Ave NE Ste 102
Bellevue, WA 98004-3058
Phone (425) 990-3223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A74959 | WA | MD | Otology & Neurotology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rikesh T. Parikh MD PLLC | Past | Accepting new patients | |
| California Ear Institute, Inc. | Past | Accepting new patients |
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.
-
- Plastic and Reconstructive Surgery Physician
- Bellevue, WA
- NPI 1164801189
-
- Specialist
- Santa Rosa, CA
- NPI 1578657730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406505600000",
"number": "1679669782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 116TH AVE NE STE 102",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043058",
"telephone_number": "425-990-3223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 116TH AVE NE STE 102",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043058",
"telephone_number": "425-990-3223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "PHILIP",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2014-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WA",
"license": "A74959",
"primary": true
},
{
"code": "207YX0901X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otology & Neurotology",
"state": "WA",
"license": "A74959",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.