Active NPI
Walter Scott Young III, M.D.
- Neurology Physician
- North Potomac, MD
National Provider Identifier
1942448469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- D0021220
- Practice address
- 11116 Pinion CT
North Potomac, MD 20878-2565 - Phone
- (301) 340-0126
- NPI assigned
- Jan 22, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | D0021220 | MD | Primary |
| Neurology Physician | 2084N0400X | 0101033531 | VA |
Addresses
Primary practice location
11116 Pinion CT
North Potomac, MD 20878-2565
Mailing address
11116 Pinion CT
North Potomac, MD 20878-2565
Phone (301) 340-0126
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0021220 | MD | MD | Neurology Physician |
| 0101033531 | VA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232582400000",
"number": "1942448469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11116 PINION CT",
"city": "NORTH POTOMAC",
"state": "MD",
"postal_code": "208782565",
"telephone_number": "301-340-0126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11116 PINION CT",
"city": "NORTH POTOMAC",
"state": "MD",
"postal_code": "208782565",
"telephone_number": "301-340-0126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "WALTER",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-22",
"last_updated": "2009-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MD",
"license": "D0021220",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "0101033531",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.