Active NPI
Glenda J. Young, D.P.M.
- Podiatrist
- Fort Scott, KS
National Provider Identifier
1952494502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- P-237
- Practice address
- 6 E 13TH St
Fort Scott, KS 66701-2625 - Phone
- (620) 223-6118
- NPI assigned
- Oct 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | P-237 | KS | Primary |
Addresses
Primary practice location
6 E 13TH St
Fort Scott, KS 66701-2625
Mailing address
6 E. 13 St.
Ft. Scott, KS 66701
Phone (620) 223-6118
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P-237 | KS | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Care Plus, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Saint Louis, MO
- NPI 1841657053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952494502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 E. 13 ST.",
"city": "FT. SCOTT",
"state": "KS",
"postal_code": "66701",
"telephone_number": "620-223-6118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 E 13TH ST",
"city": "FORT SCOTT",
"state": "KS",
"postal_code": "667012625",
"telephone_number": "620-223-6118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "GLENDA",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "KS",
"license": "P-237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Scott, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.