Charles C Young MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CHARLES C YOUNG MD LLC

Doing business as

Charles Young MD

Practice address

1812 Daley St
Rawlins, WY 82301-5912

Phone

(307) 324-6711

Fax

(307) 324-3594

NPI assigned

Sep 16, 2016

Last updated

Sep 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles C Young, MDNPI 1538252077

Title

Owner

Phone

(307) 324-6711

Specialties & licenses 1

Addresses

Other names 1

• Charles Young MD Doing business as

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles C Young, M.D.

  • Family Medicine Physician
  • Rawlins, WY
  • NPI 1538252077
  Medicare reassignment Authorized official
• Ronnie A Lasco, D.C.

  • Chiropractor
  • Rawlins, WY
  • NPI 1073667838
  NPD (past)

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1912455155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 DALEY ST",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823015912",
            "telephone_number": "307-324-6711",
            "fax_number": "307-324-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 DALEY ST",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823015912",
            "telephone_number": "307-324-6711",
            "fax_number": "307-324-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES C YOUNG MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-324-6711",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles Young MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carbon County Senior Services, Inc
• Carbon County Therapy LLC
• Cedars Health (Cedars Health Rawlins Clinic)
• Cesko Family Practice PC
• David R Cesko, MD
• Cheyenne Vamc
• Madu Remigius Chikere, MA, MSW, PCSW
• Stephanie Chiu, M.D.
• Marci Lynn Conley, LCSW, C.A.P.
• Marvin Wayne Couch II, M.D.

• Family Medicine Physician in Rawlins, WY
• Providers in Rawlins, WY by specialty
• Family Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.