DOUGLAS CARL VANDER KOOI (NPI# 1225215155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225215155 |
| Entity Type | Individual |
| Full Name | DOUGLAS CARL VANDER KOOI |
| Credential | MD |
| Practice Address |
33 Nealy Blvd Dept of Radiology Hampton VA 23665-2023 |
| Practice Telephone | 7577641987 |
| Mailing Telephone | 7577641987 |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2009-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
058523 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
33 NEALY BLVD DEPT OF RADIOLOGY |
| City | HAMPTON |
| State | VA |
| Zip Code | 23665-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| 1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
| 1285062216 | Michael John Vietti | Physician Assistant | 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 | 2013-10-30 |
| 1396182234 | Micaela Jane Dagucon | General Practice | 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2013-06-02 |
| 1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
| 1497915219 | Stephen Warren Porter | Dentist | 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 | 2008-06-16 |
| Find all providers in zip 23665 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316111552 | Yale Richmond | Radiology | 418 Rick Rd, Hampton, NJ 08827-4302 | 2008-04-18 |
| 1043322738 | Steven M Hall | Radiology | Sentava Careplex Hospital, 3000 Coliseum Dr, Hampton, VA 23666 | 2006-08-31 |
| 1801862701 | Steven Todd Pietruszynski | Radiology | 3000 Coliseum Dr., Sentara Caveplex Hospital, Hampton, VA 23666-5963 | 2006-02-28 |
| 1114012762 | Mozhdeh Salour | Radiology | 3000 Coliseum Dr, Sentara Caveplex Hospital, Hampton, VA 23666 | 2006-10-03 |
| 1871608190 | Kishore Gadahad Rao | Radiology | 3000 Coliseum Dr, Sentara Careplex Hospital, Hampton, VA 23666-5963 | 2006-08-19 |
| 1164535480 | William Wallace Ritchie | Radiology | 3000 Coliseum Dr, Sentara Careplex Hospital, Hampton, VA 23666 | 2006-08-17 |
| 1073626396 | Tidewater Diagnostic Imaging Ltd | Radiology | 3000 Coliseum Dr, Sentara Careplex Hospital, Hampton, VA 23666 | 2006-08-17 |
| 1174636377 | Kevin Keith Woisard | Radiology | 3000 Coliseum Dr, Sentara Careplex Hospital, Hampton, VA 23666 | 2006-08-15 |
| 1811900251 | Stephen A Fink | Radiology | 3000 Coliseum Dr, Sentara Careplex Hospital, Hampton, VA 23666 | 2006-08-15 |
| 1316958648 | Bennie Alan Skinner | Radiology | 3000 Coliseum Dr, Sentara Careplex Hospital, Hampton, VA 23666 | 2006-08-11 |
| Find all providers in HAMPTON | ||||
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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.