Stephen Keith Young in Tyler - Nurse Anesthetist, Certified Registered
Stephen Keith Young - NPI 1659556470
Stephen Keith Young is a Nurse Anesthetist, Certified Registered in Tyler, Texas. Stephen Keith Young practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Stephen Keith Young is 1659556470. The last update date is 2016-04-04.
Stephen Keith Young's current location address is 774 S Beckham Ave, Tyler, Texas. You can contact this provider via phone number 9035314449. The mailing address for Stephen Keith Young is 774 S Beckham Ave, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stephen Keith Young |
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Address | 774 S Beckham Ave, Tyler, Texas |
Phone Number | 9035314449 |
Fax Number | |
Sole Proprietor | N |
Credentials | CRNA |
NPI Number Detail
NPI Number | 1659556470 |
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Provider Enumeration Date | 2007-12-31 |
Last Updated Date | 2016-04-04 |
Provider Mailing Address Detail
Address | 774 S Beckham Ave |
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City | Tyler |
State | Texas (TX) |
Post Code | 757011902 |
Phone Number | 9035314449 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Nurse Anesthetist, Certified Registered |
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Taxonomy | 367500000X |
Licence No | 698498 |
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
75-0818167 | TX | TRICARE | |
P01588716 | TX | RAIL ROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Stephen Keith Young by the Centers for Medicare & Medicaid Services?
The Stephen Keith Young has been assigned the NPI (National Provider Identifier) 1659556470. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Stephen Keith Young's facilities are situated?
The facilities of Stephen Keith Young are physically located at the following address: 774 S Beckham Ave, Tyler, TX, 757011902.
What is Stephen Keith Young's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stephen Keith Young's specialized field of practice is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this area of specialization is 367500000X.
On what date did Stephen Keith Young receive its 1659556470 assignment from the Centers for Medicare & Medicaid Services?
The Stephen Keith Young was assigned its 1659556470 on 2007-12-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Stephen Keith Young's details last updated?
The information pertaining to the Stephen Keith Young, including its address, specialty, and other details, was most recently updated on 2016-04-04.