Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053406694 Individual Practitioner Female Practitioner

Dr. Staci R Young , MD

Pediatrics • Glen Carbon, IL

Professional Overview & Biography Verified Profile Summary

Dr. Staci Young, MD is a registered healthcare professional specializing in Pediatrics in Glen Carbon, IL. Practice services are available at 4804 S STATE ROUTE 159 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4804 S State Route 159

Glen Carbon, IL 620341904

Telephone 6182889305
Fax 6182889308
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Glen Carbon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
7 Specialists

Practicing in Glen Carbon, IL (3277 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-29
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036113846

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MO 2005020858

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
06500123 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1346621505

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 09, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 09, 2013

Registered at 4804 S STATE ROUTE 159, GLEN CARBON, IL 620341904 (Tel: 6182889305)

📍
Updated Business Mailing Address September 09, 2013

Registered at 4804 S STATE ROUTE 159, GLEN CARBON, IL 620341904 (Tel: 6182889305)

👤
Provider Name / Credentials Updated September 09, 2013

Recorded as STACI YOUNG, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2013

Pediatrics (License #036113846 in IL)

🟢
Initial NPI Registration & Enumeration October 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053406694
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2006
Last Update: June 29, 2020
Sole Proprietor: Yes

Mailing Address

4804 S State Route 159

Glen Carbon, IL 620341904

Phone: 6182889305

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.