Active NPI
Mark R. Young, M.D.
- Family Medicine Physician
- Plainville, MA
National Provider Identifier
1942218672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 77096
- Practice address
- 60 Messenger St
Plainville, MA 02762 - Phone
- (508) 316-7438
- Fax
- (508) 316-7117
- NPI assigned
- Aug 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 77096 | MA | Primary |
Addresses
Primary practice location
60 Messenger St
Plainville, MA 02762
Mailing address
60 Messenger St
Plainville, MA 02762-2258
Phone (508) 316-7438
Other practice location 1
170 Draper Ave
North Attleboro, MA 02760-3604
Phone (508) 695-9421
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70240 | Other | MA | HPHC |
| 0101050 | Other | UHC | |
| 3114627 | Medicaid | MA | |
| 077096 | Other | MA | TUFTS |
| 361 | Other | MA | FALLON |
| 002748 | Other | RI BLUE CHIP | |
| B10096301 | Other | MA | CIGNA |
| J30085 | Other | MA | MABC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1942218672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MESSENGER ST",
"city": "PLAINVILLE",
"state": "MA",
"postal_code": "027622258",
"telephone_number": "508-316-7438",
"fax_number": "508-316-7117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 MESSENGER ST",
"city": "PLAINVILLE",
"state": "MA",
"postal_code": "02762",
"telephone_number": "508-316-7438",
"fax_number": "508-316-7117"
}
],
"practiceLocations": [
{
"address_1": "170 Draper Ave",
"address_purpose": "LOCATION",
"city": "North Attleboro",
"state": "MA",
"postal_code": "027603604",
"country_code": "US",
"telephone_number": "508-695-9421",
"fax_number": "508-695-1341",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "MARK",
"middle_name": "R.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "77096",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "70240",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "0101050",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3114627",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "077096",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "361",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI BLUE CHIP",
"identifier": "002748",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "B10096301",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MABC",
"identifier": "J30085",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plainville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.