OrganizationActive
Staci R Young MD PC
NPI 1972675106 · Pediatrics Physician · Edwardsville, IL
Staci R Young MD PC is a Pediatrics Physician organization in Edwardsville, IL (NPI 1972675106).
Provider details
- NPI number
- 1972675106
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Staci Young, Owner(618) 655-0015
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3 Sunset Hills Professional Ctr Ste D
Edwardsville, IL 62025-3760
Phone: (618) 655-0015
Fax: (618) 655-0016
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 621
Edwardsville, IL 62025-0621
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2008-02-04
Frequently asked questions
- What is Staci R Young MD PC's NPI number?
- Staci R Young MD PC's National Provider Identifier (NPI) is 1972675106, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Staci R Young MD PC?
- Staci R Young MD PC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Staci R Young MD PC located?
- Staci R Young MD PC's practice location on file with NPPES is 3 Sunset Hills Professional Ctr Ste D, Edwardsville, IL 62025-3760.
- What is Staci R Young MD PC's phone number?
- The practice phone number listed in the NPPES registry for Staci R Young MD PC is (618) 655-0015.
- Who is the authorized official for Staci R Young MD PC?
- The authorized official listed on Staci R Young MD PC's NPPES record is Staci Young, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Staci R Young MD PC's NPI active?
- Yes — Staci R Young MD PC's NPI (1972675106) is active in the NPPES registry as of the last update on 2008-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.