DR. IAN VANDERGULIK (NPI# 1033733852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033733852 |
| Entity Type | Individual |
| Full Name | DR. IAN VANDERGULIK |
| Credential | DPM |
| Practice Address |
10 N Greene St # 112b Baltimore MD 21201-1524 |
| Mailing Address |
Po Box 180 Kensington CT 06037-0180 |
| Practice Telephone | 4106057242 |
| Mailing Telephone | 8607705113 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
9934 | MD | Podiatric Medicine & Surgery Service Providers |
| Street Address |
10 N GREENE ST # 112B |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566466 | Rene Siazon Juridico | Podiatrist | 10 N Greene St # 112b, Baltimore, MD 21201-1524 | 2018-08-03 |
| 1376168377 | Stephanie Wu | Podiatrist | 10 N Greene St # 112b, Baltimore, MD 21201-1524 | 2020-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
| Find all providers in zip 21201 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336773639 | Rosedale Podiatry Associates | Podiatrist | 9106 Philadelphia Rd Ste 204, Baltimore, MD 21237-4333 | 2020-02-25 |
| 1770143497 | Cassandre Charles | Podiatrist | 10 N Greene St Ste 112b, Baltimore, MD 21201-1524 | 2019-06-14 |
| 1720566466 | Rene Siazon Juridico | Podiatrist | 10 N Greene St # 112b, Baltimore, MD 21201-1524 | 2018-08-03 |
| 1003940339 | Umez Podiatry, P.a. | Podiatrist | 1800 N Charles St Ste 208, Baltimore, MD 21201-5907 | 2007-03-16 |
| 1043383045 | Doughty Podiatry, P.a. | Podiatrist | 404 Eastern Blvd Ofc 1, Baltimore, MD 21221-6714 | 2006-11-16 |
| 1609969310 | Albert Shoumer | Podiatrist | 40 S. Dundalk Ave, Baltimore, MD 21222 | 2006-10-02 |
| 1730194119 | Boris Abramov | Podiatrist | 4005 7 Mile Ln Ste E, Baltimore, MD 21208-6125 | 2006-07-31 |
| 1316930035 | Joseph Blaise Girlando | Podiatrist | 7131 Liberty Rd, Suite 104, Baltimore, MD 21207-4575 | 2005-08-28 |
| 1659377877 | David Cohen | Podiatrist | 9403 Harford Rd, Baltimore, MD 21234-3123 | 2005-06-22 |
| 1376168377 | Stephanie Wu | Podiatrist | 10 N Greene St # 112b, Baltimore, MD 21201-1524 | 2020-06-15 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.