Martha Sue Young

Physician • Agra, OK

Deactivated NPI 1669590428 Deactivated in NPPES Female Practitioner

Practice location in NPPES

214 Roosevelt St
Agra, OK 74824

Phone: 9183752222

Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of March 20, 2017; the reason is not published. The records below are historical. They do not show whether Martha Young currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date March 27, 2007

NPI Deactivation Date March 20, 2017

NPI Active Period 2007 – 2017

Practice Location & Contact Primary Location

Practice Address

214 Roosevelt St

Agra, OK 74824

Telephone 9183752222

Before You Book

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What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Physician: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Agra and Oklahoma

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Respite Care - Respite Care, Mental Illness, Child Primary Specialty

NUCC Taxonomy Code: 385HR2055X

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events

⚠️

NPI Profile Deactivated March 20, 2017

NPPES lists this NPI as deactivated as of March 20, 2017; the reason is not published.

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) July 08, 2007

Registered at 214 ROOSEVELT ST, AGRA, OK 74824 (Tel: 9183752222)

📍

Business Mailing Address (Initial Record) July 08, 2007

Registered at PO BOX 332, AGRA, OK 74824 (Tel: 9183752222)

👤

Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as MARTHA YOUNG

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Respite Care

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Initial NPI Registration & Enumeration March 27, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669590428

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 27, 2007

Last Update: July 08, 2007

Deactivation Date: March 20, 2017

Update or Correct Profile

Mailing Address

Po Box 332

Agra, OK 74824

Phone: 9183752222

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.