John L. Young, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

2012008874 Issued in MO

Legal business name

JOHN L. YOUNG, M.D.

Practice address

4101 Mexico Rd
Suite H
Saint Peters, MO 63376-6414

Phone

(301) 989-0548

Fax

(301) 989-1543

NPI assigned

May 2, 2013

Organization subpart

No

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

Authorized official

Name

Dr. John L Young, M.D.NPI 1194859926

Title

Physician/Owner

Phone

(301) 989-0548

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• John L Young, M.D.

  • General Practice Physician
  • Saint Peters, MO
  • NPI 1194859926
  NPD (past) Authorized official

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1851736045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 REDGATE CT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209055726",
            "telephone_number": "301-989-0548",
            "fax_number": "301-989-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 MEXICO RD",
            "address_2": "SUITE H",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766414",
            "telephone_number": "301-989-0548",
            "fax_number": "301-989-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L. YOUNG, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "301-989-0548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MO",
            "license": "2012008874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "2012008874",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Maria Jensen, MD
• Nicole Renee Jett
• Keta Jhala, PHARMD
• Raj B Jhala
• JKL Enterprises Inc
• Angela Mae Johnson, LPC
• Chauntreace Duprea Johnson, RN, BSN
• Dayonna Johnson
• Kayla Johnson
• Stacy L Johnson, FNP-C

• General Practice Physician in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• General Practice Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.

Verify at the official NPI Registry.