NPIMap

Individual provider Active NPI

Timothy John Young, MD

  • Neurology Physician
  • Eau Claire, WI
National Provider Identifier
1912979899
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
51606 Issued in WI
Practice address
1221 Whipple St
Eau Claire, WI 54703
Phone
(715) 838-5222
NPI assigned
Feb 3, 2006
Last updated
Sep 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 44878 MN
Neurology Physician 2084N0400X 51606 WI Primary

Addresses

Primary practice location

1221 Whipple St
Eau Claire, WI 54703

Mailing address

PO Box 1510
Eau Claire, WI 54702-1510
Phone (715) 838-5222

Other practice location 1

1400 Bellinger St
Eau Claire, WI 54703-5222
Phone (715) 838-1900

Other practice location 2

1400 Bellinger St
Eau Claire, WI 54703-5222
Phone (715) 838-1900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tyoung24190@ehrdirect.mayoclinicmsg.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080703000471 WI Practitioner - Neurology 4082603360 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Minnesota Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mayo Clinic Health System-Northwest Wisconsin Region IncGroup PAC ID 4385553627, shared by 21 NPIs, 797 clinicians

Practice addresses (Care Compare)

1400 Bellinger St
Eau Claire, WI 54703-5222
Phone (715) 838-5222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51606WIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. Current Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. CurrentSince Jan 1, 2017 Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. CurrentSince Jan 1, 2017 Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. Current Accepting new patients
Mayo Clinic Past Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. Past Accepting new patients
Neurologic Services of Oklahoma LLC Past Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. Past Accepting new patients
Mayo Clinic Past Accepting new patients

Locations

4500 San Pablo Rd S
Jacksonville, FL 32224
Phone (904) 721-4815

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

1222 E Woodland Ave
Barron, WI 54812
Phone (715) 537-3166

1501 Thompson St
Bloomer, WI 54724
Phone (715) 568-2000

1221 Whipple St
Eau Claire, WI 54703
Phone (715) 831-0100

1400 Bellinger St
Eau Claire, WI 54703
Phone (715) 838-3311

733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806

800 West Ave S
La Crosse, WI 54601
Phone (608) 372-5951

2321 Stout Rd
Menomonie, WI 54751
Phone (715) 235-5531

2409 Stout Rd
Menomonie, WI 54751
Phone (715) 231-3937

Interoperability endpoints

  • Direct secure messaging: tyoung24190@ehrdirect.mayoclinicmsg.org

Ownership & related parties

All facility ownership & control disclosures 17

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mayo Clinic Health System in Eau ClaireEau Claire, WI, CCN 520070 Hospital Corporate Director Jan 1, 2025
Mayo Clinic Health System-Southwest Wisconsin Region IncLa Crosse, WI, CCN 520004 Hospital Corporate Director Jan 1, 2025
Mayo Clinic Health System - SpartaSparta, WI, CCN 521305 Hospital Corporate Director Jan 1, 2025
Mayo Clinic Health System-Red CedarMenomonie, WI, CCN 521340 Hospital Corporate Director Jan 1, 2025
Mayo Clinic Health System-NorthlandBarron, WI, CCN 521315 Hospital Corporate Director Jan 1, 2025
Mayo Clinic Health System-OakridgeOsseo, WI, CCN 521302 Hospital Corporate Director Jan 1, 2025
Mayo Clinic Health System-Chippewa ValleyBloomer, WI, CCN 521314 Hospital Corporate Director Jan 1, 2025
Mayo Clinic Health System-Red CedarMenomonie, WI, CCN 52Z340 Hospital Corporate Director Jan 1, 2025
Mayo Clinic Health System-NorthlandBarron, WI, CCN 52Z315 Hospital Corporate Director Jan 1, 2025
Mayo Clinic Health System-OakridgeOsseo, WI, CCN 52Z302 Hospital Corporate Director Jan 1, 2025
Mayo Clinic Health System-Chippewa ValleyBloomer, WI, CCN 52Z314 Hospital Corporate Director Jan 1, 2025
Mayo Clinic Health System- SpartaSparta, WI, CCN 52Z305 Hospital Corporate Director Jan 1, 2025
Mayo Clinic Health System in Eau ClaireEau Claire, WI, CCN 527138 Home health agency Corporate Director Jan 1, 2025
Mayo Clinic Health System - SpartaSparta, WI, CCN 523998 Rural health clinic Corporate Director Jan 1, 2025
Mayo Clinic Health System-Southwest Wisconsin Region IncArcadia, WI, CCN 528601 Rural health clinic Corporate Director Jan 1, 2025
Mayo Clinic Health System - Prairie Du ChienPrairie Du Chien, WI, CCN 528625 Rural health clinic Corporate Director Jan 1, 2025
Mayo Clinic Health System - Oakridge in MondoviMondovi, WI, CCN 528627 Rural health clinic Corporate Director Jan 1, 2025

Owned or controlled facilities with NPI records 17

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 17

Organizations & group practices 9

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

Hospital & facility affiliations 5

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1912979899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547021510",
            "telephone_number": "715-838-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 WHIPPLE ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54703",
            "telephone_number": "715-838-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Bellinger St",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547035222",
            "country_code": "US",
            "telephone_number": "715-838-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Bellinger St",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547035222",
            "country_code": "US",
            "telephone_number": "715-838-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MN",
            "license": "44878",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "51606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tyoung24190@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "1221 Whipple St",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "54703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.