MEDICARE: DR. PAUL SANDIDGE YORK JR. 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	208800000X	Urology Physician	17529	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00304552	OTHER		AUA #
2	17529	OTHER	KY	STATE MEDICAL LICENSE

General Provider Information

NPI Number	:	1609907641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL SANDIDGE YORK JR. M.D.

Provider Business Mailing Address
First Line	:	2190 N JACKSON HWY
Second Line	:
City	:	GLASGOW
State	:	KY
Zip	:	42141-9096
Country	:	US
Telephone Number	:	270-651-8117
Fax Number	:

Provider Business Practice Location Address
First Line	:	2190 N JACKSON HWY
Second Line	:
City	:	GLASGOW
State	:	KY
Zip	:	42141-9096
Country	:	US
Telephone Number	:	270-651-8117
Fax Number	:

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

Provider Enumeration Date	:	03/09/2007
Last Update Date	:	03/07/2023

Similar Medicare Providers

1477943751 — JAMIE LYNN HELM LPCC
Practice Location Address:

621 HAPPY VALLEY RD
GLASGOW, KY
42141-1541

Practice Phone: 866-934-7450
Practice Fax:

1972451821 — TYRONE FRANKLIN JR
Practice Location Address:

203 YMCA WAY
GLASGOW, KY
42141-1195

Practice Phone: 270-576-3736
Practice Fax:

1306793153 — CANDICE OBERRAMER
Practice Location Address:

608 HAPPY VALLEY RD
GLASGOW, KY
42141-1561

Practice Phone: 270-901-5000
Practice Fax:

1013864313 — MARY POLSON LCSW
Practice Location Address:

416 SOUTHFORK RD
GLASGOW, KY
42141-7603

Practice Phone: 270-646-5928
Practice Fax:

1336861046 — HIGHLAND PHARMACY INC
Practice Location Address:

301 ROGERS RD
GLASGOW, KY
42141-4110

Practice Phone: 270-629-4300
Practice Fax:

1992425391 — ELY DRUGS INC
Practice Location Address:

415 HAPPY VALLEY RD
GLASGOW, KY
42141-1537

Practice Phone: 270-651-5159
Practice Fax:

Directions to “ DR. PAUL SANDIDGE YORK JR. 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 © 2007-2026 (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.