Individual provider Active NPI

Young Hee Kang, MD

  • Psychiatry Physician
  • Welsh, LA
National Provider Identifier
1861424293
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
05031R Issued in LA
Practice address
107 S Elms St
Welsh, LA 70591-4211
Phone
(337) 734-4730
Fax
(337) 734-4730
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05031R LA
Psychiatry Physician 2084P0800X 05031R LA Primary

Addresses

Primary practice location

107 S Elms St
Welsh, LA 70591-4211

Mailing address

107 S Elms St
Welsh, LA 70591-4211
Phone (337) 734-4730

Other identifiers 1

IdentifierTypeStateIssuer
1300691MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101209000077 LA Practitioner - General Practice 9032306675 Practice locations: Welsh, LA

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

107 S Elms St
Welsh, LA 70591-4211
Phone (337) 734-4730

Hospital & facility affiliations

  • Ochsner American Legion Hospital Hospital, Jennings, LA, CCN 190053
  • Golden Age of Welsh, LLC Nursing home, Welsh, LA, CCN 195522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
05031RLAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Age of Welsh, L.L.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1861424293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S ELMS ST",
            "city": "WELSH",
            "state": "LA",
            "postal_code": "705914211",
            "telephone_number": "337-734-4730",
            "fax_number": "337-734-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S ELMS ST",
            "city": "WELSH",
            "state": "LA",
            "postal_code": "705914211",
            "telephone_number": "337-734-4730",
            "fax_number": "337-734-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "YOUNG",
        "middle_name": "HEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "05031R",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "05031R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300691",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Welsh, LA

Sources for this page

Verify at the official NPI Registry.