Youthful MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

YOUTHFUL MD LLC

Practice address

10595 Old Alabama Rd Con
# 9A
Alpharetta, GA 30022

Phone

(855) 411-2225

Fax

(800) 814-3301

NPI assigned

Jan 13, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Offer Danan, DC

Title

Ceo

Phone

(770) 695-5500

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1982244463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 STEEPLE POINT DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765521",
            "telephone_number": "770-695-5500",
            "fax_number": "800-814-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10595 OLD ALABAMA RD CON",
            "address_2": "# 9A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30022",
            "telephone_number": "855-411-2225",
            "fax_number": "800-814-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTHFUL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "DANAN",
        "authorized_official_first_name": "OFFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-695-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Jill Young, PT, DPT
• Marsha L Young, CRNA
• Martha Secord Young, MASSAGE THERAPIST
• Tammy Lynn Young, PHARMD
• Terry Youngman, RPT
• Phillip Lee Yovino
• Soyoung Yun, MS, LPC
• Katy Yurman, MS, RD, LD
• Edil Yusuf
• Bahar H. Zadeh, MD

• Family Medicine Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.