Robert R Young, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1245 Issued in CO

Practice address

12 E Macarthur St
Shawnee, OK 74804-2135

Phone

(405) 275-1001

Fax

(405) 275-1201

NPI assigned

May 10, 2006

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

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Nevada School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edmond Urgent Care Inc.Group PAC ID 0547494254, 4 clinicians

Williams Medical Group Practice, LLCGroup PAC ID 3375832157, 212 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Physician Assistant

State licenses

Practice roles

Locations

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.

• Williams Medical Group Practice, LLC

  dba Integrity Urgent Care

  • Family Medicine Physician
  • Lawton, OK
  • NPI 1346608809
  Medicare reassignment Care Compare group NPD
• Edmond Urgent Care Inc.

  • Urgent Care Clinic/Center
  • Edmond, OK
  • NPI 1346687241
  Medicare reassignment Care Compare group
• Healthcare Express, LLP

  • Family Medicine Physician
  • Midwest City, OK
  • NPI 1639574130
  Medicare reassignment NPD
• Mercy Oklahoma Ambulatory Services LLC

  • Urgent Care Clinic/Center
  • Moore, OK
  • NPI 1922509173
  Medicare reassignment
• Williams Medical Group Practice, LLC

  dba Xpress Wellness Urgent Care

  • Rural Health Clinic/Center
  • Collinsville, OK
  • NPI 1215751508
  NPD
• Healthcare Express, LLP

  dba Healthcare Express

  • Physical Therapy Clinic/Center
  • Texarkana, TX
  • NPI 1881101996
  NPD
• Creekside Urgent Care LLC

  • Urgent Care Clinic/Center
  • Edmond, OK
  • NPI 1902426737
  NPD (past)
• Williams Medical Group Practice, LLC

  dba Xpress Wellness Urgent Care

  • Rural Health Clinic/Center
  • Shawnee, OK
  • NPI 1477126753
  NPD (past)
• Front Range Emergency Specialists, PC

  • Emergency Medicine Physician
  • Colorado Springs, CO
  • NPI 1538233234
  NPD (past)
• Integrity Urgent Care, P.C.

  • Urgent Care Clinic/Center
  • Colorado Springs, CO
  • NPI 1912189788
  NPD (past)
• Memorial Health System

  dba Memorial Hospital Phys Group

  • General Acute Care Hospital
  • Colorado Springs, CO
  • NPI 1568668754
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1730139015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12605 OOLA CT",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730202039",
            "telephone_number": "719-440-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E MACARTHUR ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748042135",
            "telephone_number": "405-275-1001",
            "fax_number": "405-275-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ROBERT",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "1245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52486265",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "970014182",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Yerby
• Gavin Zane Yoesting
• Tish York
• Vanette Nealeis York, MOTR/L
• Jasasha Young
• Timothy Dewayne Young
• Chase C Youngblood, DDS
• Youth and Family Resource Center
• Ashley Rae Yu
• Theresa Yu

• Physician Assistant in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.