Robert L. Young M.D. Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

IN24515 Issued in IN

Legal business name

ROBERT L. YOUNG M.D. INC.

Practice address

1646 45TH Ave
Munster, IN 46321-3914

Phone

(219) 924-3700

Fax

(219) 924-3712

NPI assigned

Oct 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Fredric D. Young, M.D.NPI 1144322249

Title

Physician

Phone

(219) 924-3700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fredric D Young, MD

  • Ophthalmology Physician
  • Munster, IN
  • NPI 1144322249
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1730376807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 45TH AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213914",
            "telephone_number": "219-924-3700",
            "fax_number": "219-924-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 45TH AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213914",
            "telephone_number": "219-924-3700",
            "fax_number": "219-924-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L. YOUNG M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "FREDRIC",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "219-924-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "IN24515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Riechman
• Megan Nicole Rigual, LCSW
• Shannon Nicole Riley
• Gabriella Rivas
• Sarah Rivera, MSN NP-C
• David Alan Robinson, MD
• Genesis Robinson
• Noelle Robinson, BCBA
• Lusiana Robles
• Francis Roche, M.D.

• Durable Medical Equipment & Medical Supplies in Munster, IN
• Providers in Munster, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.