Organization Active NPI

James W. Young III MD PA

  • Urology Physician
  • Eustis, FL
National Provider Identifier
1801110960
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
JAMES W. YOUNG III MD PA
Doing business as
Urology Associates of Lake County
Practice address
801 Northshore Dr
Eustis, FL 32726-2945
Phone
(352) 357-6786
Fax
(352) 357-6386
NPI assigned
Mar 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Dr. James W. Young III, M.D.
Title
Sole Owner
Phone
(352) 357-6786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

801 Northshore Dr
Eustis, FL 32726-2945

Mailing address

801 Northshore Dr
Eustis, FL 32726-2945
Phone (352) 357-6786

Other names 1

  • Urology Associates of Lake County Doing business as

National Provider Directory

National Provider Directory

Locations

801 Northshore Dr
Eustis, FL 32726
Phone (352) 357-6786

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1801110960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 NORTHSHORE DR",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327262945",
            "telephone_number": "352-357-6786",
            "fax_number": "352-357-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 NORTHSHORE DR",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327262945",
            "telephone_number": "352-357-6786",
            "fax_number": "352-357-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W. YOUNG III MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "352-357-6786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urology Associates of Lake County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eustis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.