DR. J NICHOLAS VANDEMOER (NPI# 1245432772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245432772 |
| Entity Type | Individual |
| Full Name | DR. J NICHOLAS VANDEMOER |
| Credential | M.D. |
| Practice Address |
49 Lakeside Dr E Centerville MA 02632-1834 |
| Mailing Address |
68 Camp St Hyannis MA 02601-3048 |
| Practice Telephone | 5087718017 |
| Mailing Telephone | 5087757026 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2019-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 36521 | MA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2021455 | 05 |
| Street Address |
49 LAKESIDE DR E |
| City | CENTERVILLE |
| State | MA |
| Zip Code | 02632-1834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144702937 | Samuel Rosier | Physical Therapist | 1600 Falmouth Rd Ste 34, Centerville, MA 02632 | 2018-08-29 |
| 1326547217 | Stephanie Dufresne | Counselor | 759 Old Strawberry Hill Rd., Centerville, MA 02632 | 2018-02-06 |
| 1790220838 | Jessie Lacasse | Social Worker | 88 West Main Street, Centerville, MA 02632 | 2016-12-28 |
| 1235524323 | Allison M. Friberg | Physician Assistant | 1185b Falmouth Road, Centerville, MA 02632 | 2015-04-06 |
| 1124136361 | Dr. Auger D.d.s. | Dentist | 1480 Falmouth Road, Centetrville, MA 02632 | 2006-08-28 |
| 1457467888 | Arthur Logan Bence | Social Worker | 161 Harbor Hills Road, Centerville, MA 02632 | 2006-08-21 |
| 1700999257 | Judith Begelfer Sonner | Social Worker | 1550 Falmouth Rd, Centerville, MA 02632 | 2006-08-17 |
| 1942299185 | Cape Regency Ma Snf LLC | Skilled Nursing Facility | 120 South Main Street, Centerville, MA 02632 | 2005-10-20 |
| 1831514405 | Thomas Jared Butler | Counselor | 1185 Falmouth Rd, Centerville, MA 02632 | 2014-02-19 |
| 1609212620 | James Millard Girard | Counselor | 183 Shootflying Hill Rd, Centeviller, Centerville, MA 02632-1439 | 2013-05-16 |
| Find all providers in zip 02632 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948170 | John M Duchak Md Cardiology LLC | Specialist | 1036 Wild Hickory Lane, Centerville, OH 45458 | 2020-09-24 |
| 1598013609 | The Counseling Center LLC | Specialist | 386 N Main St, Centerville, UT 84014-1819 | 2012-08-21 |
| 1265674147 | Obi C Okehi | Specialist | 106 Farmington Ct, Centerville, GA 31028-6508 | 2009-03-24 |
| 1427296318 | Misty Irene Dickerson | Specialist | 7740 Washington Village Drive, Suite 100, Centerville, OH 45458-3994 | 2009-01-30 |
| 1033398938 | Dayton Cardiology Consult | Specialist | 8367 Yankee St, Centerville, OH 45458-1809 | 2007-10-26 |
| 1699964676 | Corry Benson Haxton | Specialist | 6122 Fireside Dr, Apt B, Centerville, OH 45459-2035 | 2007-10-16 |
| 1841346467 | Lds Family Services | Specialist | 94a East Pages Lane, Centerville, UT 84014 | 2007-01-26 |
| 1306879218 | Matthew John Fox | Specialist | 9985 Dayton Lebanon Pike, Centerville, OH 45458 | 2006-07-07 |
| 1518949221 | Richard Knoll Mannal | Specialist | 99 Katherine Rd, Centerville, MA 02632-3213 | 2005-11-17 |
| 1326415464 | Whitney Schwieger | Specialist | 2400 Miami Valley Dr, Centerville, OH 45459-4774 | 2015-08-24 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 02632 |
Please comment or provide details below to improve the information on DR. J NICHOLAS VANDEMOER.
| 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.