Provider Demographics
NPI:1386684975
Name:YOUNG, DALE CHRISTOPHER (MD)
Entity Type:Individual
Prefix:DR
First Name:DALE
Middle Name:CHRISTOPHER
Last Name:YOUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1115 BOULDERS PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4067
Mailing Address - Country:US
Mailing Address - Phone:804-560-5595
Mailing Address - Fax:804-560-9029
Practice Address - Street 1:1115 BOULDERS PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23225-4067
Practice Address - Country:US
Practice Address - Phone:804-320-1339
Practice Address - Fax:804-330-5829
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA101038561207XX0005X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA540885859OtherC&O EMPLOYEES HEALTHCARE
VA540885859OtherFIRST HEALTH/CCN
VA0900347OtherUNITED HEALTHCARE
VA1386684975Medicaid
VA006440304Medicaid
VA540885859OtherPRIVATE HEALTHCARE SYSTEM
VA540885859OtherCORVEL
VA386545OtherANTHEM WEST END OPERATORY
VA0536821OtherAETNA HMO
VA540885859OtherVIRGINIA HEALTH NETWORK
VA200012470OtherRAILROAD MEDICARE
VA068541OtherANTHEM HEALTHKEEPERS
VA540885859OtherFOCUS
VA540885859OtherCOMPMANAGEMENT
VA2138336OtherUNITED HEALTHCARE MAMSI
VA285564OtherSOUTHERN HEALTH
VA32186OtherSH CARENET
VA540885859OtherCIGNA
VA006440304Medicaid
VA068541OtherANTHEM HEALTHKEEPERS
VA0472640006Medicare NSC