Young Family Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

YOUNG FAMILY MEDICINE PC

Practice address

171 Lovell Ave Ste 102
Ebensburg, PA 15931-1855

Phone

(814) 846-5972

Fax

(814) 846-5971

NPI assigned

Apr 6, 2022

Organization subpart

No

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

Authorized official

Name

Stephanie YoungNPI 1285604561

Title

President

Phone

(814) 241-1595

Specialties & licenses 2

Addresses

Other names 1

• Young Family Medicine, P.C. Former legal business name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Stephanie S Young, D.O.

  • Family Medicine Physician
  • Ebensburg, PA
  • NPI 1285604561
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1790426211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 LOVELL AVE STE 102",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159311855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 LOVELL AVE STE 102",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159311855",
            "telephone_number": "814-846-5972",
            "fax_number": "814-846-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-241-1595"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Young Family Medicine, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Elizabeth J Woods, PAC
• Deawna L Wyandt
• Michele Lee Yakicic, REGISTERED NURSE
• Jennifer L Yatsky, RN
• Erin M Yesenosky, CRNP
• Janet Young, SLP
• Stephanie S Young, D.O.
• Gregory Marion Zawrotny, DMD

• Family Medicine Physician in Ebensburg, PA
• Providers in Ebensburg, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.