Provider Demographics
NPI:1518047869
Name:YOUNG, AMY E (MD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:E
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1542 TULANE AVENUE
Mailing Address - Street 2:#550
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112
Mailing Address - Country:US
Mailing Address - Phone:504-568-8663
Mailing Address - Fax:504-568-5140
Practice Address - Street 1:1542 TULANE AVENUE
Practice Address - Street 2:SUITE 550
Practice Address - City:NEW ORLEANS
Practice Address - State:KY
Practice Address - Zip Code:70112-2822
Practice Address - Country:US
Practice Address - Phone:504-412-1100
Practice Address - Fax:504-560-5140
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK1146207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX096625101Medicaid
TX096625101Medicaid
TXTXB117568Medicare PIN
TX8L1701Medicare PIN
G32453Medicare UPIN
TX88W272Medicare PIN