Active NPI
Dawn Rosalie Youngblood, PA-C
- Physician Assistant
- Dallastown, PA
National Provider Identifier
1780775874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA04971
- Practice address
- 1010 Blymire Rd
Dallastown, PA 17313-9220 - Phone
- (717) 244-4531
- Fax
- (717) 246-8573
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA054355 | PA | |
| Physician Assistant | 363A00000X | PA04971 | TX | Primary |
Addresses
Primary practice location
1010 Blymire Rd
Dallastown, PA 17313-9220
Mailing address
1010 Blymire Rd
Dallastown, PA 17313-9220
Phone (717) 244-4531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of York County, LTD | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Corpus Christi, TX
- NPI 1013415934
-
- Emergency Medicine Physician
- Alice, TX
- NPI 1114425220
-
- Emergency Medicine Physician
- Alice, TX
- NPI 1972286920
-
- Emergency Medicine Physician
- York, PA
- NPI 1972542850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1780775874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 BLYMIRE RD",
"city": "DALLASTOWN",
"state": "PA",
"postal_code": "173139220",
"telephone_number": "717-244-4531",
"fax_number": "717-246-8573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 BLYMIRE RD",
"city": "DALLASTOWN",
"state": "PA",
"postal_code": "173139220",
"telephone_number": "717-244-4531",
"fax_number": "717-246-8573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNGBLOOD",
"first_name": "DAWN",
"middle_name": "ROSALIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA054355",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA04971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallastown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.