Wade Earle Young, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35050815 Issued in OH

Practice address

60 Ashwood Dr
Tiffin, OH 44883-1908

Phone

(419) 448-8811

Fax

(419) 448-7418

NPI assigned

Nov 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

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

Specialty

OphthalmologyAlso: Optometry

Education

Northwestern University Feinberg Medical School, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wade E Young MD IncGroup PAC ID 4789719584, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wadeyoungmd@direct-address.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.

• Wade E Young MD Inc

  dba Tiffin Eye Center

  • Ophthalmology Physician
  • Tiffin, OH
  • NPI 1639111289
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1699759159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ASHWOOD DR",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448831908",
            "telephone_number": "419-448-8811",
            "fax_number": "419-448-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ASHWOOD DR",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448831908",
            "telephone_number": "419-448-8811",
            "fax_number": "419-448-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "WADE",
        "middle_name": "EARLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35050815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0569040",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2742787",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wadeyoungmd@direct-address.net",
            "affiliation": "Y",
            "endpointDescription": "Direct Send Messaging Address",
            "affiliationName": "Wade E Young MD Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "60 Ashwood Dr",
            "city": "Tiffin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "448831908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lori Yeager, LISW
• Paul Yeakle II, ATC
• Andrea Erin Young, H.I.S., A.B.O.C.
• Merris Young, MD
• Taylor Young
• Samantha Renee Zaciewski, DDS
• Thomas Gerard Zaciewski, MD
• Zellner Pharmacy Inc (Zellner Pharmacy)
• Kent Allen Zellner, RPH
• Noel' Carin Zimmerman, FNP-C

• Ophthalmology Physician in Tiffin, OH
• Providers in Tiffin, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.