MEDICARE: DR. MARIA SIOBHANNE YOUNG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	35090762	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295784601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA SIOBHANNE YOUNG M.D.

Provider Business Mailing Address
First Line	:	4256 FULTON DR NW APT A
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44718-2879
Country	:	US
Telephone Number	:	330-754-6696
Fax Number	:	330-754-6825

Provider Business Practice Location Address
First Line	:	4256 FULTON DR NW APT A
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44718-2879
Country	:	US
Telephone Number	:	330-754-6696
Fax Number	:	330-754-6825

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	12/09/2025

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1346273281 — MICHAEL JOHNSON MD
Practice Location Address:

4256 FULTON DR NW APT A
CANTON, OH
44718-2879

Practice Phone: 330-754-6696
Practice Fax: 330-754-6825

1073021689 — ULTIMATE ACCESS PRIMARY CARE
Practice Location Address:

4256 FULTON DR NW
CANTON, OH
44718-2879

Practice Phone: 330-754-6696
Practice Fax:

1922017607 — DR. JOANN KRIVETZKY MD
Practice Location Address:

4256 FULTON DR NW , STE B
CANTON, OH
44718-2879

Practice Phone: 330-546-0751
Practice Fax: 330-956-5237

1790070191 — PREMIER GYNECOLOGY, INC.
Practice Location Address:

4256 FULTON DR NW , STE B
CANTON, OH
44718-2879

Practice Phone: 330-546-0751
Practice Fax: 330-956-5237

1821342304 — MRS. MEGAN ELIZABETH HUSTED CNP
Practice Location Address:

4256 FULTON DR NW , SUITE A
CANTON, OH
44718-2879

Practice Phone: 330-493-3800
Practice Fax:

Directions to “ DR. MARIA SIOBHANNE YOUNG M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.