Provider Demographics
NPI:1831240548
Name:YOUNGMAN, JAMES DOUGLAS (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DOUGLAS
Last Name:YOUNGMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4701 OLENTANGY RIVER RD
Mailing Address - Street 2:002
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-1950
Mailing Address - Country:US
Mailing Address - Phone:614-326-3881
Mailing Address - Fax:614-326-3967
Practice Address - Street 1:4701OLENTANGY RIVER ROAD
Practice Address - Street 2:002
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-1950
Practice Address - Country:US
Practice Address - Phone:614-326-3881
Practice Address - Fax:614-326-3967
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH379532084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHA80195Medicare UPIN
OH0504612Medicare ID - Type Unspecified