Provider Demographics
NPI:1962760546
Name:YOUNT, ANTHONY ROBERT (DO)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:ROBERT
Last Name:YOUNT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 CASSELL DR
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-3747
Mailing Address - Country:US
Mailing Address - Phone:423-245-9600
Mailing Address - Fax:423-245-9631
Practice Address - Street 1:201 CASSELL DR
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-3747
Practice Address - Country:US
Practice Address - Phone:423-245-9600
Practice Address - Fax:423-245-9631
Is Sole Proprietor?:No
Enumeration Date:2012-05-02
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2739207Q00000X, 208M00000X
VA0102204177207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ014780Medicaid
TN1039I30882Medicare PIN
VAVVH927A479Medicare PIN