Organization Active NPI

Robert Michael Young MD PA

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
National Provider Identifier
1871896100
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
E4784 Issued in TX
Legal business name
ROBERT MICHAEL YOUNG MD PA
Practice address
7922 Ewing Halsell Dr
Suite 470
San Antonio, TX 78229-3862
Phone
(210) 614-6677
Fax
(210) 614-6445
NPI assigned
Dec 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Authorized official

Name
Dr. Robert Michael Young, MD
Title
Physician/Owner
Phone
(210) 614-6677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X E4784 TX Primary

Addresses

Primary practice location

7922 Ewing Halsell Dr
Suite 470
San Antonio, TX 78229-3862

Mailing address

7922 Ewing Halsell Dr
Suite 470
San Antonio, TX 78229-3862
Phone (210) 614-6677

Other identifiers 3

IdentifierTypeStateIssuer
TXB124665OtherTXINDIVIDUAL MEDICARE PIN
098585502MedicaidTX
1639177298OtherTXINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

7922 Ewing Halsell Dr
Ste 470
San Antonio, TX 78229
Phone (210) 614-6677

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1871896100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7922 EWING HALSELL DR",
            "address_2": "SUITE 470",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293862",
            "telephone_number": "210-614-6677",
            "fax_number": "210-614-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7922 EWING HALSELL DR",
            "address_2": "SUITE 470",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293862",
            "telephone_number": "210-614-6677",
            "fax_number": "210-614-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT MICHAEL YOUNG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "210-614-6677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "E4784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE PIN",
            "identifier": "TXB124665",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098585502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1639177298",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.