ERIC DAVID VANFOSSEN (NPI# 1083754287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083754287 |
| Entity Type | Individual |
| Full Name | ERIC DAVID VANFOSSEN |
| Credential | PA-C |
| Practice Address |
1205 Fairington Dr Sidney OH 45365-8144 |
| Mailing Address |
21039 Geyer Dr Wapakoneta OH 45895-8815 |
| Practice Telephone | 9374928431 |
| Mailing Telephone | 9375965386 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0805 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1205 FAIRINGTON DR |
| City | SIDNEY |
| State | OH |
| Zip Code | 45365-8144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831195767 | Kenneth Bosslet | Family Medicine | 1205 Fairington Dr, Sidney, OH 45365-8144 | 2005-06-24 |
| 1396109963 | Cara Wolters | Family Medicine | 1205 Fairington Dr, Sidney, OH 45365-8144 | 2016-04-11 |
| 1770979346 | Edward Osharhire Omerhi | Family Medicine | 1205 Fairington Dr, Sidney, OH 45365 | 2015-04-10 |
| 1609084375 | Primecare Physicians of West Central Ohio, Inc | General Practice | 1205 Fairington Dr, Sidney, OH 45365-8144 | 2007-05-18 |
| 1023014966 | Stephen Justice | Family Medicine | 1205 Fairington Dr, Sidney, OH 45365-8144 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750881660 | Mary Jean Carpenter | Social Worker | 2338 Aldrin Dr, Sidney, OH 45365 | 2018-02-16 |
| 1568979045 | Healthstat Onsiet Clinic Nk Parts | Preventive Medicine | 800 S Kuther Rd, Sidney, OH 45365 | 2018-01-05 |
| 1225565427 | Courtney Lynn Spearman | Speech-Language Pathologist | 1152 St. Marys Avenue, Sidney, OH 45365 | 2017-05-18 |
| 1710381439 | Tammy Bridenbaugh | Nursing Care | 1028 N. Broadway, Sidney, OH 45365 | 2014-10-09 |
| 1568897346 | Rachelle Kistner | Counselor | 1065 Fairington Dr, Sidney, OH 45365 | 2013-09-11 |
| 1073955670 | Orthopaedic Institute of Ohio, Inc. | Durable Medical Equipment & Medical Supplies | Wilson Health Michigan Medical Building B, 915 West Michigan Street, Sidney, OH 45365 | 2013-07-24 |
| 1023350394 | Honey Gem Drinnen | Licensed Practical Nurse | 416 Ironwood Drive, Sidney, OH 45365 | 2013-03-25 |
| 1376853325 | Jamey Leigh Hepner | Nurse Practitioner | 1101 N Vandemark Rd, Sidney, OH 45365 | 2010-10-08 |
| 1578701850 | Fairlawn Local Schools | Local Education Agency (LEA) | 18000 Johnston Rd, Sidney, OH 45365 | 2009-01-26 |
| 1730345398 | Angela Castle | Counselor | 1101 N Vandermark Rd., Sidney, OH 45365 | 2008-08-04 |
| Find all providers in zip 45365 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689233488 | Lindsey Marie Schlaeg | Physician Assistant | 39 Pearl St W, Sidney, NY 13838-1330 | 2019-06-06 |
| 1265989487 | Jessica Jeffries | Physician Assistant | 216 14th Ave Sw, Sidney, MT 59270-3519 | 2016-09-06 |
| 1417326349 | Joshua M Deschaine | Physician Assistant | 216 14th Ave Sw, Sidney, MT 59270-3519 | 2015-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618428 | Stephanie Ann Keener | Physician Assistant | 7774 Hythe Cir, Centerville, OH 45459-8705 | 2020-10-27 |
| 1174122600 | Maria Drankov Lane | Physician Assistant | 1806 Muskegon Dr, Cincinnati, OH 45255-2635 | 2020-10-26 |
| 1326647512 | Junell Rutledge | Physician Assistant | 644 High St, Youngstown, OH 44502-1562 | 2020-10-20 |
| 1699372383 | Samantha Kibler | Physician Assistant | 7337 Caritas Cir Nw Ste 150, Massillon, OH 44646-9128 | 2020-10-06 |
| 1982218186 | Morgan Holmes | Physician Assistant | 65 Community Rd Ste F, Tallmadge, OH 44278-2358 | 2020-09-04 |
| 1902456023 | Kara Meyer | Physician Assistant | 2417 Derbyshire Ct, Cleveland Heights, OH 44106-2778 | 2019-09-19 |
| 1679122394 | Mariah Bower | Physician Assistant | 2725 Hampshire Rd Apt 3, Cleveland, OH 44106-2570 | 2019-09-05 |
| 1457908014 | Kristen Fairchild | Physician Assistant | 4235 Secor Rd Bldg 2, Toledo, OH 43623-4231 | 2019-08-19 |
| 1811549462 | Abigail Malsch | Physician Assistant | 2376 Fenwood Rd, University Heights, OH 44118-3804 | 2019-07-14 |
| 1164087466 | Jessica Lee Schulte | Physician Assistant | 1110 West Main Cross St., Findlay, OH 45840-2423 | 2019-05-02 |
| Find all providers with the same taxonomy | ||||
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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.