Provider Demographics
NPI:1700837242
Name:YOUNG, JOHN ADAM (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ADAM
Last Name:YOUNG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6035 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3256
Mailing Address - Country:US
Mailing Address - Phone:704-295-3000
Mailing Address - Fax:704-295-3468
Practice Address - Street 1:6035 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-3256
Practice Address - Country:US
Practice Address - Phone:704-295-3000
Practice Address - Fax:704-295-3468
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC11983207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC297396OtherMAMSI
NC141019OtherCOVENTRY
NC1964OtherDOCTORS HEALTH PLAN
NC89795OtherBCBS
NC0841430OtherUNITED HEALTHCARE
NC8989795Medicaid
SCE05303Medicaid
NC100711OtherWELLNESS
NC10489OtherBLUE CHOICE
NC1547308002OtherCIGNA
NC20013OtherKANAWHA
NC4068467OtherAETNA
NC66699OtherMEDCOST
NC6880OtherPARTNERS
NC11130OtherWELLPATH
NC6880OtherPARTNERS
NC66699OtherMEDCOST
NC297396OtherMAMSI