J a Young Anesthesia Associates, Inc

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R0022980 Issued in OK

Legal business name

J A YOUNG ANESTHESIA ASSOCIATES, INC

Practice address

8121 National Ave
Suite 108
Midwest City, OK 73110-7530

Phone

(405) 732-7905

NPI assigned

Aug 5, 2006

Last updated

Jun 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melenie Nachimson

Title

Credentialing Specialist

Phone

(405) 775-9350

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1699784090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270126",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731370126",
            "telephone_number": "405-775-9350",
            "fax_number": "405-775-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 NATIONAL AVE",
            "address_2": "SUITE 108",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731107530",
            "telephone_number": "405-732-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J A YOUNG ANESTHESIA ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "NACHIMSON",
        "authorized_official_first_name": "MELENIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "405-775-9350"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0022980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100783950C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Insight School of Oklahoma
• Insights & Actions PLLC
• Sereniti Dawn Irish
• Don Richard Ishmael, M.D.
• Lee Andrew Ison, MD
• Jack E. Hopkins, O.D., Inc.
• Cheryl Lynn Jackson
• Collin Dale Jackson
• Derisha Jackson
• Kaira Jackson

• Certified Registered Nurse Anesthetist in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Certified Registered Nurse Anesthetist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.