DR. JEFFREY THEODORE VANGELDEREN (NPI# 1043217979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043217979 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY THEODORE VANGELDEREN |
| Credential | M.D. |
| Practice Address |
248 Washington Ave Suite A Bay City MI 48708-5848 |
| Practice Telephone | 9898925664 |
| Practice Fax Number | 9898920662 |
| Mailing Telephone | 9898925664 |
| Mailing Fax Number | 9898920662 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2011-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301405970 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3418136 | 05 | |
| MI | 3419062 | 05 |
| Street Address |
248 WASHINGTON AVE SUITE A |
| City | BAY CITY |
| State | MI |
| Zip Code | 48708-5848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427512425 | Oksana Lidke | Nurse Practitioner | 248 Washington Ave, Bay City, MI 48708-5848 | 2019-01-24 |
| 1619334828 | Laurisa Cummings | Social Worker | 248 Washington Ave, Bay City, MI 48708-5848 | 2016-01-19 |
| 1902972748 | Childrens Medical Group of Saginaw Bay Pllc | Pediatrics | 248 Washington Ave, Suite A, Bay City, MI 48708-5848 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497370399 | Francine Marie Dixon | Pharmacist | 1800 Columbus Ave Ste P, Bay City, MI 48708 | 2020-06-16 |
| 1417578261 | Kassie L Pagliughi | Counselor | 1100 N. Grant Street, Bay City, MI 48708 | 2020-05-04 |
| 1346711694 | Connie Lynn Mossner | Physical Therapy Assistant | 2112 16 Th Street, Ste 7, Bay City, MI 48708 | 2018-12-16 |
| 1275003766 | Great Lakes Bay Health Centers | Clinic/Center | 1821 Mckinley St, Bay City, MI 48708 | 2018-11-28 |
| 1891204970 | Ronald Lavern Polhill Jr. | Registered Nurse | 701 South Lincoln St., Bay City, MI 48708 | 2017-09-21 |
| 1447610001 | Jeffrey M Hunt | Nurse Practitioner | 714 S. Trumbull St., Bay City, MI 48708 | 2016-02-25 |
| 1457762437 | Asim Malik | Emergency Medicine | 1900 Columbus Ave # B203, Bay City, MI 48708 | 2014-05-13 |
| 1538584768 | Sarah R. Vanparis | Registered Nurse | 1010 N. Madison, Bay City, MI 48708 | 2014-02-25 |
| 1033549316 | Melissa Rood | Case Manager/Care Coordinator | 1001 Mulholland, Bay City, MI 48708 | 2013-11-22 |
| 1528498953 | Shannon Rae Ogg | Social Worker | 2110 16th St Ste 7, Bay City, MI 48708 | 2013-11-21 |
| Find all providers in zip 48708 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497885347 | Valloppillil M.d. | Pediatrics | 1407 Avenue H, Bay City, TX 77414-3529 | 2007-03-07 |
| 1144395492 | Cindy Fine Williams | Pediatrics | 1850 9th St, Bay City, MI 48708-6742 | 2006-11-22 |
| 1902901366 | Susan Colleen Hendrickson | Pediatrics | 1000 Washington Ave, Bay City, MI 48707-9801 | 2006-09-13 |
| 1821073248 | Kunjamma Sebastian | Pediatrics | 1410 Avenue F, Bay City, TX 77414-3418 | 2005-12-08 |
| 1962403550 | Patricia A. Maxwell | Pediatrics | 2417 Avenue I, Bay City, TX 77414-6104 | 2005-08-03 |
| 1356760656 | Steven Joshua Kass | Pediatrics | 104 7th St, Bay City, TX 77414-4853 | 2014-04-15 |
| 1053672535 | Discovery Medical Network Matagorda LLC | Pediatrics | 600 Hospital Cir, Bay City, TX 77414-4771 | 2012-05-31 |
| 1831489038 | Kim Chau | Pediatrics | 101 Avenue F N, Bay City, TX 77414-3167 | 2011-04-10 |
| 1902972748 | Childrens Medical Group of Saginaw Bay Pllc | Pediatrics | 248 Washington Ave, Suite A, Bay City, MI 48708-5848 | 2006-11-24 |
| 1881771244 | Inkun Shin | Pediatrics | 200 S Wenona St, Bay City, MI 48706-8820 | 2006-11-01 |
| Find all providers in BAY CITY | ||||
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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.