Individual
DR. JOSEPH THEODORE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1015 BOWLES AVE, FENTON, MO 63026
(636) 496-2000
(314) 996-1681
Mailing address
PO BOX 4297, BOULDER, CO 80306-4297
(303) 518-1931
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2008028220
MO
207P00000X
Emergency Medicine Physician
23542
CO
207P00000X
Emergency Medicine Physician
C50185
CA
207P00000X
Emergency Medicine Physician
F3008
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01235423
—
CO
01
—
P00691434
RR MEDICARE INDIVIDUAL PTAN NUMBER
MO
Enumeration date
12/22/2005
Last updated
08/19/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us