Susan B. Young DO PLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

3799 Issued in OK

Legal business name

SUSAN B. YOUNG DO PLC

Practice address

4700 W Urbana St
Broken Arrow, OK 74012-5504

Phone

(918) 290-2300

Fax

(918) 290-2310

NPI assigned

Mar 30, 2017

Organization subpart

No

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

Authorized official

Name

Susan Young, D.O.

Title

Owner

Phone

(405) 775-9350

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1740712660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21052",
            "address_2": "DEPT 22431",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741211052",
            "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": "4700 W URBANA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125504",
            "telephone_number": "918-290-2300",
            "fax_number": "918-290-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN B. YOUNG DO PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-775-9350",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "3799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Jean Sumpter, MS, CCC-SLP
• Amber Sund
• Sundene Internal Medicine, PLLC
• Sunshine Smiles PLLC
• Suretrip Transit LLC
• Gregory Michael Sutmiller, LPC, LADC
• Latasha Roshawn Suttle, LPTA
• Sweet Baby Births LLC
• Catherine Dee Swint, FNP-C
• Aisha Syed, PHARM. D

• Surgery Physician in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.