Active NPI
Young Foundational Health Center
- Adult Medicine Physician
- Largo, FL
National Provider Identifier
1992979546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- ME0067443
- Legal business name
- YOUNG FOUNDATIONAL HEALTH CENTER
- Practice address
- 7241 Bryan Dairy Rd
Largo, FL 33777 - Phone
- (727) 545-4600
- Fax
- (727) 545-4611
- NPI assigned
- Apr 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John D Young, M.D.
- Title
- Owner
- Phone
- (727) 545-4600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | ME0067443 | FL | Primary |
Addresses
Primary practice location
7241 Bryan Dairy Rd
Largo, FL 33777
Mailing address
7241 Bryan Dairy Rd
Largo, FL 33777-1538
Phone (727) 545-4600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050506000648 | FL | Part B Supplier - Clinic/Group Practice | 7416997648 |
Receives reassigned benefits from 3 practitioners Practice locations: Largo, FL |
National Provider Directory
National Provider DirectoryLocations
7600 Bryan Dairy Rd
Ste E
Largo, FL 33777
Phone (727) 544-2500
7241 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 545-4600
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Raleigh, NC
- NPI 1225313182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408320000000",
"number": "1992979546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7241 BRYAN DAIRY RD",
"city": "LARGO",
"state": "FL",
"postal_code": "337771538",
"telephone_number": "727-545-4600",
"fax_number": "727-545-4611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7241 BRYAN DAIRY RD",
"city": "LARGO",
"state": "FL",
"postal_code": "33777",
"telephone_number": "727-545-4600",
"fax_number": "727-545-4611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUNG FOUNDATIONAL HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-15",
"last_updated": "2014-08-18",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "727-545-4600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": "FL",
"license": "ME0067443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.