Active NPI
Elisabeth Helen Young, M.D.
- Internal Medicine Physician
- Youngstown, OH
National Provider Identifier
1821302183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35-05-4833
- Practice address
- 5190 Market St
Youngstown, OH 44512-2131 - Phone
- (330) 788-1992
- Fax
- (330) 788-1998
- NPI assigned
- Jul 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35-05-4833 | OH | Primary |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 35-05-4833 | OH | |
| Rheumatology Physician | 207RR0500X | 35-05-4833 | OH |
Addresses
Primary practice location
5190 Market St
Youngstown, OH 44512-2131
Mailing address
3415 Candy Woods Dr
Poland, OH 44514-2289
Phone (330) 707-9007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0812937 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice of the Valley, Inc. | Past | Accepting new patients | |
| Hospice of the Valley, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community Based Hospice Care Agency
- Girard, OH
- NPI 1750315396
-
- Community Based Hospice Care Agency
- Villa Maria, PA
- NPI 1184977209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1821302183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3415 CANDY WOODS DR",
"city": "POLAND",
"state": "OH",
"postal_code": "445142289",
"telephone_number": "330-707-9007",
"fax_number": "330-758-8995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5190 MARKET ST",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445122131",
"telephone_number": "330-788-1992",
"fax_number": "330-788-1998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "ELISABETH",
"middle_name": "HELEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-28",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-05-4833",
"primary": true
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "OH",
"license": "35-05-4833",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "OH",
"license": "35-05-4833",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0812937",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.