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GREGORY W YOUNG M.D.
NPI 1194710129
Pediatrics in Kenosha, WI

Active since September 15, 2005
6809 122ND AVE, KENOSHA, WI 53142(262) 654-8633(262) 654-5467 Get Directions Write a Review

NPPES record last updated: February 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2019, Feb 1, 2019 (2 updates tracked since 2019).

About Gregory W Young M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY W YOUNG M.D. (NPI 1194710129) is an individual pediatrics provider in Kenosha, Wisconsin, licensed in Wisconsin (20264) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1194710129
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameGREGORY W YOUNGCredential: M.D.
Location Address6809 122ND AVEKenosha, WI 53142-7335
Mailing Address9000 W Wisconsin Ave # Ms 958Milwaukee, WI 53226-4874 · (414) 266-7615 · Fax (414) 266-6238
Phone(262) 654-8633
Fax(262) 654-5467
Sole ProprietorNo
Enumeration DateSeptember 15, 2005
Last NPPES UpdateFebruary 13, 20192 updates tracked since enumeration
✔ NPI 1194710129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 20264
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6809 122ND AVE, Kenosha, WI 53142
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Other Identifiers 1

Medicaid30211300WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANN MARIE SUNDARESON M.D.
Pediatrics
6809 122ND AVE
KENOSHA, WI 53142
Kenosha County (262) 654-8633
THERESA CAFARO MD
Pediatrics
6809 122ND AVE
KENOSHA, WI 53142
Kenosha County (262) 891-6600
ALEXANDRA PATRICE COVERT LPC
Counselor (Mental Health)
6809 122ND AVE
KENOSHA, WI 53142
Kenosha County (414) 607-5280
CHILDREN'S MEDICAL GROUP, INC.
Social Worker (Clinical)
6809 122ND AVE
KENOSHA, WI 53142
Kenosha County (262) 891-6575
SARAH ANITA MELTON
Social Worker (Clinical)
6809 122ND AVE
KENOSHA, WI 53142
Kenosha County (262) 891-6575
MRS. ANNE ELIZABETH HYSAW LCSW
Social Worker (Clinical)
6809 122ND AVE
KENOSHA, WI 53142
Kenosha County (262) 652-5522
ARIAH ZWOLINSKI-COYLE LPC, CRC
Counselor
6809 122ND AVE
KENOSHA, WI 53142
Kenosha County (262) 652-5522
JAYA V IYER M.D.
Pediatrics
6809 122ND AVE
KENOSHA, WI 53142
Kenosha County (262) 654-8633

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Young's NPI number?

The NPI number for Gregory Young is 1194710129. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Gregory Young located?

Gregory Young practices at 6809 122nd Ave, Kenosha, WI 53142. The listed phone number is (262) 654-8633.

What is Gregory Young's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Gregory Young was last updated on February 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.