KENT W VANDEVREDE


Address: 601 W Savidge St, Spring Lake, MI 49456-1620
Phone: 2316723100

KENT W VANDEVREDE (NPI# 1194163279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194163279
Entity Type Individual
Full Name KENT W VANDEVREDE
Credential DO
Practice Address 601 W Savidge St
Spring Lake
MI 49456-1620
Mailing Address Po Box 1848
Muskegon
MI 49443-1848
Practice Telephone 2316723100
Practice Fax Number 2316723102
Mailing Telephone 2317274444
Mailing Fax Number 2317284789
Enumeration Date 2013-06-11
Last Update Date 2016-11-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 5101020679 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 601 W SAVIDGE ST
City SPRING LAKE
State MI
Zip Code 49456-1620

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477555621 Paul A Haight Family Medicine 601 W Savidge St, Spring Lake, MI 49456-1620 2005-06-01
1083143663 Kara Liane Keeling Nurse Practitioner 601 W Savidge St, Spring Lake, MI 49456-1620 2017-06-07
1851741854 Joshua N Kalb Internal Medicine 601 W Savidge St, Spring Lake, MI 49456-1620 2016-06-21
1932545886 Jonas P Berlin Family Medicine 601 W Savidge St, Spring Lake, MI 49456-1620 2013-05-20
1144399510 Timothy E Kval Family Medicine 601 W Savidge St, Spring Lake, MI 49456-1620 2006-11-07
1508801812 Hpcn Internal Medicine 601 W Savidge St, Spring Lake, MI 49456-1620 2006-06-19
1639123557 Gregory Stempky Family Medicine 601 W Savidge St, Spring Lake, MI 49456-1620 2006-05-22
1386642502 Jamie Lynn Noorman Physician Assistant 601 W Savidge St, Spring Lake, MI 49456-1620 2005-07-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376066001 Kathleen Ann Bates Nurse Practitioner 16036 Baird Dr, Spring Lake, MI 49456 2017-07-25
1174859763 David A Buursma Physical Therapist 16140 148th Avenue, Spring Lake Community Fitness & Aquatic Center, Spring Lake, MI 49456 2009-11-02
1720314552 Arthur Linwood Brown II Surgery 18925 North Shore Dr., Spring Lake, MI 49456 2009-10-29
1700050531 Ann Holmgren Harris Clinical Nurse Specialist 17353 Hazel St, Suite 212, Spring Lake, MI 49456 2008-04-14
1932320421 Julie A Bench Physical Therapist 15414 Stoneridge Ct, Spring Lake, MI 49456 2007-05-01
1730304130 Phillip Allen Morse Pharmacist 603 E Savidge, Spring Lake, MI 49456 2007-04-13
1821125592 Patrick Scott Karwowski Pharmacist 603 E Savidge St, Spring Lake, MI 49456 2007-02-28
1528126521 Debra Kaye Cargo Social Worker 107 South Division, Spring Lake, MI 49456 2006-12-04
1396821377 Hometown Pharmacy Inc Pharmacy 17717 174th Ave, Spring Lake, MI 49456 2006-10-31
1710071360 Link Dephouse Physical Therapist 16200 Old Orchard Dr, Spring Lake, MI 49456 2006-10-03
Find all providers in zip 49456

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215260468 Maria Medical Center Internal Medicine 13840 Nc Highway 210 S, Spring Lake, NC 28390-8824 2009-09-04
1457512006 Martha Grace Chiccone Internal Medicine 24 Wyckham Rd, Spring Lake, NJ 07762-2255 2008-06-17
1467486365 Donald M Micallef Internal Medicine 512 Warren Ave, Spring Lake, NJ 07762-1233 2006-07-10
1730153321 Paul A Pardon Internal Medicine 512 Warren Ave., Spring Lake, NJ 07762 2006-02-13
1295361939 John A Schmidt Jr Md Internal Medicine 2006 Highway 71 Ste 3, Spring Lake, NJ 07762-2283 2020-03-13
1851741854 Joshua N Kalb Internal Medicine 601 W Savidge St, Spring Lake, MI 49456-1620 2016-06-21
1205194859 Donald E Barth Internal Medicine 505 Washington Ave, Spring Lake, NJ 07762-1435 2012-05-01
1912289059 Donald M Micallef Md PC Internal Medicine 512 Warren Ave, Spring Lake, NJ 07762-1233 2011-09-14
1740323682 Naveed Aziz Md Pa Internal Medicine 224 N Main St, Spring Lake, NC 28390-3820 2007-02-14
1134143530 Khalid Aziz Internal Medicine 224 N Main St, Spring Lake, NC 28390-3820 2006-07-27
Find all providers in SPRING LAKE

Competitor

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City SPRING LAKE
Zip Code 49456

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Dataset Information

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.

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