Yavarace Young, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18482 Issued in KY

Practice address

624 Chamberlin Ave
Frankfort, KY 40601-4220

Phone

(502) 227-2285

Fax

(502) 227-1465

NPI assigned

Apr 19, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Yavarace Vongsivavilas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1790001568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 WELLINGTON WAY",
            "address_2": "SUITE 275",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131259",
            "telephone_number": "859-219-2828",
            "fax_number": "859-219-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 CHAMBERLIN AVE",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406014220",
            "telephone_number": "502-227-2285",
            "fax_number": "502-227-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "YAVARACE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "18482",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KY",
            "license": "18482",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YAVARACE",
            "last_name": "VONGSIVAVILAS",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dalasia Woods
• Ganesh Yamraj, M.D.
• Susan E. Yezzo, AU.D.
• Jolene Young, LCSW
• Kendra Diane Young, ATC
• Michele Lynne Zaparanick-Brown, M.A., CCC-SLP
• Ryan Zeronis, DC
• Elizabeth Zibell, PHARMD

• Family Medicine Physician in Frankfort, KY
• Providers in Frankfort, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.