Active NPI
Wes L Young, PAC
- Physician Assistant
- Dodge City, KS
National Provider Identifier
1952526964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1500075
- Practice address
- 100 Ross Blvd
B2A
Dodge City, KS 67801 - Phone
- (620) 227-3141
- Fax
- (620) 227-8095
- NPI assigned
- Apr 16, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1500075 | KS | Primary |
Addresses
Primary practice location
100 Ross Blvd
B2A
Dodge City, KS 67801
Mailing address
6037 26 Rd
Fowler, KS 67844
Phone (620) 646-5589
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
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952526964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6037 26 RD",
"city": "FOWLER",
"state": "KS",
"postal_code": "67844",
"telephone_number": "620-646-5589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ROSS BLVD",
"address_2": "B2A",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "67801",
"telephone_number": "620-227-3141",
"fax_number": "620-227-8095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "WES",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "1500075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dodge City, 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.