Active NPI
Vernon Leroy Young, M.D.
- Plastic Surgery Physician
- Washington, MO
National Provider Identifier
1710028550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- R9606
- Practice address
- 901 Patients First Drive
Washington, MO 63090 - Phone
- (636) 390-1544
- Fax
- (636) 390-1451
- NPI assigned
- Feb 12, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | R9606 | MO | Primary |
Addresses
Primary practice location
901 Patients First Drive
Washington, MO 63090
Mailing address
901 Patients First Drive
Washington, MO 63090
Phone (636) 390-1544
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 |
|---|---|---|---|
| R9606 | MO | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390780800000",
"number": "1710028550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 PATIENTS FIRST DRIVE",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "63090",
"telephone_number": "636-390-1544",
"fax_number": "636-390-1451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 PATIENTS FIRST DRIVE",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "63090",
"telephone_number": "636-390-1544",
"fax_number": "636-390-1451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "VERNON",
"middle_name": "LEROY",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2014-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MO",
"license": "R9606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.