Physician Compare National (NPI:1356301055)

HEALTHCARE PROVIDER: WALTER YOUNG M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1356301055
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1254347040
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060303000130
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	YOUNG
	Individual professional last name
Provider First Name	WALTER
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
	Individual professional's medical school
Graduation Year	1975
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	DIGESTIVE HEALTH ASSOCIATES OF TEXAS PA
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2769372150
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	104
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3430 W WHEATLAND RD
	Group Practice or individual's line 1 address
Line 2 Street Address	CHARLTON I POB SUITE 109
	Group Practice or individual's line 2 address
City	DALLAS
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	752373446
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9722961983
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450051
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	METHODIST DALLAS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y