| NPI | 1124026836 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-07-07 |
| Last Updated | 2009-10-08 |
| Mailing Address | 301 Hale Ave Prescott, AR 71857-3330 United States Phone: (870) 887-6651 | Fax: (870) 887-2008 📍 View Map |
| Primary Practice Address | 301 Hale Ave Prescott, AR 71857-3330 United States Phone: (870) 887-6651 | Fax: (870) 887-2008 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | AR | 080043829 | GBA RAILROAD |
| MEDICAID | AR | 1124026836 | - |
| Other (non-Medicare) | AR | 127720000 | QUAL CHOICE |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207QG0300X – Family Medicine, Geriatric Medicine | AR | C4873 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1124026836
Michael Clarence Young M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1124026836. The primary specialty listed is Family Medicine, Geriatric Medicine. The provider is located in Prescott, AR. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-07-07. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1124026836?
NPI 1124026836 belongs to Michael Clarence Young M.D., a Family Medicine, Geriatric Medicine in Prescott, AR. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1124026836 active?
The current status of NPI 1124026836 in the NPPES registry is Active. The record was last updated on 2009-10-08.
What specialty is NPI 1124026836?
NPI 1124026836 is classified under the taxonomy Family Medicine, Geriatric Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1124026836?
You can verify NPI 1124026836 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1124026836?
The primary practice address on file for NPI 1124026836 is 301 Hale Ave, Prescott, AR 71857-3330. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1124026836 issued?
NPI 1124026836 was first issued (enumerated) on 2005-07-07. The NPPES record was last updated on 2009-10-08.
Practice Location Map
Michael Clarence Young is located at 301 Hale Ave, Prescott, AR. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Michael Clarence Young. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1124026836. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine, Geriatric Medicine | C4873 | AR |