NPIMap

Individual provider Active NPI

Jeffrey Milton Young, M.D.

  • Emergency Medicine Physician
  • Pahrump, NV
National Provider Identifier
1720072333
Registry record updated Nov 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
6126 Issued in NV
Practice address
360 S Lola LN
Pahrump, NV 89048-0884
Phone
(775) 751-7561
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A34567 CA
Emergency Medicine Physician 207P00000X 6126 NV Primary
Emergency Medicine Physician 207P00000X MD2006-0062 NM
Emergency Medicine Physician 207P00000X MD13719 HI

Addresses

Primary practice location

360 S Lola LN
Pahrump, NV 89048-0884

Mailing address

1659 Sentiero Della Villa
Santa Fe, NM 87506-4502
Phone (505) 920-0488

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34567CAMDChiropractor
6216NVMDDentist
A34567CAMDEmergency Medicine Physician
MD2006-0062NMMDEmergency Medicine Physician
6126NVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthfront PC Emergency Medicine Past Accepting new patients
Emergency Medical Services Group Emergency Medicine Past Accepting new patients
Emergency Medicine Physician Partners of Rancho Mirage, Inc Emergency Medicine Past Accepting new patients
Nopah Vista Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Emergency Physicians Medical Group, Inc Emergency Medicine Past Accepting new patients
Hawaii Emergency Physicians Associated Inc Emergency Medicine Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258243200000",
    "number": "1720072333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1659 SENTIERO DELLA VILLA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875064502",
            "telephone_number": "505-920-0488",
            "fax_number": "858-832-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S LOLA LN",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890480884",
            "telephone_number": "775-751-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JEFFREY",
        "middle_name": "MILTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2009-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A34567",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "6126",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "MD2006-0062",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "MD13719",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2009; 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.