Timothy John Young, MD
Individual provider Active NPI Neurology Physician · Eau Claire, WI
NPI 1912979899 · NPPES record last updated Sep 14, 2020
Key facts
- NPI
- 1912979899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 51606 (WI)
- Practice address
- 1221 Whipple St
Eau Claire, WI 54703 - Phone
- (715) 838-5222
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 5
Owned or controlled facilities with NPI records 17
Medicare Care Compare profile
- 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 Inc
Practice addresses (Care Compare)
1400 Bellinger St
Eau Claire, WI 54703-5222
Phone (715) 838-5222
Hospital & facility affiliations
- Mayo Clinic Health System Eau Claire Hospital
- Mayo Clinic Health System-Red Cedar Inc
- Mayo Clinic Health System-Northland
- Mayo Clinic Health System Chippewa Valley
- Mayo Clinic Health System Oakridge
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 17
| Facility | Type | Role | Since |
|---|---|---|---|
| Mayo Clinic Health System in Eau Claire |
Hospital | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System-Southwest Wisconsin Region Inc |
Hospital | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System - Sparta |
Hospital | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System-Red Cedar |
Hospital | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System-Northland |
Hospital | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System-Oakridge |
Hospital | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System-Chippewa Valley |
Hospital | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System-Red Cedar |
Hospital | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System-Northland |
Hospital | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System-Oakridge |
Hospital | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System-Chippewa Valley |
Hospital | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System- Sparta |
Hospital | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System in Eau Claire |
Home health agency | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System - Sparta |
Rural health clinic | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System-Southwest Wisconsin Region Inc |
Rural health clinic | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System - Prairie Du Chien |
Rural health clinic | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System - Oakridge in Mondovi |
Rural health clinic | Corporate Director | Jan 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080703000471 | WI | Practitioner - Neurology | 4082603360 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51606 | WI | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current |
Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current |
Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Past | Accepting new patients | |
| Mayo Clinic | Past | Accepting new patients | |
| Mayo Clinic | 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 |
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
733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806
1400 Bellinger St
Eau Claire, WI 54703
Phone (715) 838-3311
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 44878 | MN | |
| Neurology Physician | 2084N0400X | 51606 | WI | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tyoung24190@ehrdirect.mayoclinicmsg.org |
NPI Registry JSON
{
"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
- Alyssa K Yoder
- Richard Yoon
- Brennan J. Young
- Gina R Young
- Tiffany K Young
- Youphoria3, LLC
- Your Cpap Store
- Ann Yourek
- Blenda Yun
- Hamze Abdi Yusuf
All providers in Eau Claire, WI · Neurology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.