Active NPI
Teddy Si Youn, M.D.
- Neurology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 58461
- Practice address
- 240 W Thomas Rd # 400
Phoenix, AZ 85013-4407 - Phone
- (602) 406-6262
- Fax
- (602) 406-6261
- NPI assigned
- Jul 23, 2009
- Sex
- Male
- Sole proprietor
- No
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 | ML60093624 | WA | |
| Neurology Physician | 2084N0400X | ME130279 | FL | |
| Neurology Physician | 2084N0400X | 58461 | AZ | Primary |
Addresses
Primary practice location
240 W Thomas Rd # 400
Phoenix, AZ 85013-4407
Mailing address
240 W Thomas Rd # 400
Phoenix, AZ 85013-4407
Phone (602) 406-6262
Other practice location 1
1329 SW 16th St
Gainesville, FL 32610
Phone (352) 273-5607
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019236100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, GA, AZ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Yale University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1901 Outlet Ctr Dr
Suite 210
Oxnard, CA 93036-0666
Phone (805) 983-0425
2000 W Bethany Home Rd
Phoenix, AZ 85015-2443
Phone (602) 246-5681
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ML60093624 | WA | MD | Internal Medicine Physician |
| ME130279 | FL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Link Neuroscience Institute PC | Neurology | Current | Accepting new patients |
| Pih Health Physicians | Current | Accepting new patients | |
| Arizona Acute Medical Services 1 PC | Hospitalist | Current | Accepting new patients |
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Arizona Post-Acute Medical Services 1 PC | Hospitalist | Past | Accepting new patients |
| VHS of Arrowhead, Inc | Past | Accepting new patients |
Locations
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339
18350 Roscoe Blvd
Ste 706
Northridge, CA 91325
Phone (805) 983-0425
1901 Outlet Center Dr
Ste 210
Oxnard, CA 93036
Phone (805) 485-3800
2323 De la Vina St
Ste 205
Santa Barbara, CA 93105
Phone (805) 983-0425
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616
Organizations & group practices 12
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.
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1154860674
-
- Neurology Physician
- Oxnard, CA
- NPI 1427890631
-
- Critical Access Hospital Clinic/Center
- Peridot, AZ
- NPI 1265813075
TX
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Family Medicine Physician
- Whittier, CA
- NPI 1609233899
-
dba Clarence Wesley Health Center
- Clinic/Center
- Bylas, AZ
- NPI 1417330713
-
- Ophthalmology Physician
- Whittier, CA
- NPI 1295131621
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1093254419
-
dba Abrazo Arrowhead Campus
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
-
dba Mercy Medical Center Redding
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Abrazo Arrowhead Campus
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
-
dba Abrazo Peoria Emergency Center
- General Acute Care Hospital
- Peoria, AZ
- NPI 1801340781
-
dba Northridge Hospital Medical Center
- General Acute Care Hospital
- Northridge, CA
- NPI 1417089350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1912137985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 W THOMAS RD # 400",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134407",
"telephone_number": "602-406-6262",
"fax_number": "602-406-6261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 W THOMAS RD # 400",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134407",
"telephone_number": "602-406-6262",
"fax_number": "602-406-6261"
}
],
"practiceLocations": [
{
"address_1": "1329 SW 16th St",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "32610",
"country_code": "US",
"telephone_number": "352-273-5607",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUN",
"first_name": "TEDDY",
"middle_name": "SI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-23",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "ML60093624",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME130279",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AZ",
"license": "58461",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019236100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.