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DR. SAMUEL DOAK YOUNG III MD
NPI 1811003593
Orthopaedic Surgery - Sports Medicine in Jacksonville, FL

Active since August 22, 2006PECOS Enrolled
2080 CHILD ST, JACKSONVILLE, FL 32214(904) 542-7679 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 11, 2023, Jan 5, 2023, Jul 13, 2022 and 1 more (4 updates tracked since 2021).

About Dr. Samuel Doak Young Iii Md NPPES

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

DR. SAMUEL DOAK YOUNG III MD (NPI 1811003593) is an individual sports medicine provider in Jacksonville, Florida, licensed in Florida (ME96716) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811003593
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. SAMUEL DOAK YOUNG IIICredential: MD
Location Address2080 CHILD STJacksonville, FL 32214-5005
Mailing Address2080 Child StJacksonville, FL 32214-5005 · (904) 542-7679
Phone(904) 542-7679
Sole ProprietorNo
Enumeration DateAugust 22, 2006
Last NPPES UpdateSeptember 18, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2023
✔ NPI 1811003593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in FL · ME96716
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License ME96716 (FL), 0101240022 (VA), 2005-00921 (NC)
2080 CHILD ST, Jacksonville, FL 32214
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Other Names 1

Other Name (5)Samuel D Young

Other Identifiers 4

Medicaid2762374-00FL
Medicaid813042151AFL
MedicaidNC1999SC
Medicaid1811003593NC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Doak Young Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MR. STEVEN LEE UNDHEIM IDC
Military Health Care Provider (Independent Duty Corpsman)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 546-7094
RAMONA GREENE
Registered Nurse (Medical-Surgical)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
DR. HANNAH GOULD MD
Military Health Care Provider
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7762
DR. RONALD APPLEBY D.M.D
Dentist (General Practice)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-3442
MS. DEBRA LYNN WAGNER CNM, ARNP
Advanced Practice Midwife
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
DR. NICOLE MARIE THATCHER MD
General Practice
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-0409
MR. ROBERT NEWTON DOBBINS III RPH
Pharmacist
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-2537
DR. DWIGHT DAVID HART PSY.D.
Psychologist (Clinical)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-3473

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 Samuel Young's NPI number?

The NPI number for Samuel Young is 1811003593. It was assigned to this individual provider in the NPPES registry on August 22, 2006. The provider is also known as Samuel D Young.

Where is Samuel Young located?

Samuel Young practices at 2080 Child St, Jacksonville, FL 32214. The listed phone number is (904) 542-7679.

What is Samuel Young's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Samuel Young enrolled in Medicare?

Yes. Samuel Young is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Young was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.