DAVID VANDERLUGT (NPI# 1265467476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265467476 |
| Entity Type | Individual |
| Full Name | DAVID VANDERLUGT |
| Credential | M.D. |
| Practice Address |
3988 W State Road 10 Wheatfield IN 46392-9251 |
| Mailing Address |
2022 Kelle Dr Chesterton IN 46304-8708 |
| Practice Telephone | 2199873581 |
| Practice Fax Number | 2199877137 |
| Mailing Telephone | 2193643616 |
| Mailing Fax Number | 2193643610 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01038324A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100086440A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 520 8th Ave Ne, Demotte, IN 463109108 | 2199873581 | 2199877137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760421952 | David F Vanderlugt | Dentist | 2008 Eastcastle Dr Se, Suite C, Grand Rapids, MI 49508-8874 | 2006-06-05 |
| Street Address |
3988 W STATE ROAD 10 |
| City | WHEATFIELD |
| State | IN |
| Zip Code | 46392-9251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073070009 | Rebecca J Groen | Nurse Practitioner | 3988 W State Road 10, Wheatfield, IN 46392-9251 | 2019-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427439850 | Tiffany Conley | Specialist/Technologist | 1424 E 1275 N, Wheatfield, IN 46392 | 2015-06-11 |
| 1619366622 | Jessica Jean Deboer | Counselor | 12501 North State Road 49, Wheatfield, IN 46392 | 2015-01-14 |
| 1851570261 | Franklin-mccallister | Home Health | 25 S Pearl St, Wheatfield, IN 46392 | 2007-11-01 |
| 1487779138 | Kankakee Vallley School Corporation | Local Education Agency (LEA) | 12021 North 550 West, Wheatfield, IN 46392 | 2007-03-20 |
| 1891704342 | Wheatfield Ambulance Service | Ambulance | 490 E Grove St, Wheatfield, IN 46392 | 2006-08-05 |
| 1457317786 | Jasper County Hospital | Nurse Practitioner | 492 S Bierma St, Wheatfield, IN 46392 | 2006-04-25 |
| 1306038559 | Kankakee Valley School Corporation | Local Education Agency (LEA) | 12021 North 550 West, Wheatfield, IN 46392 | 2007-08-13 |
| 1801173349 | Kathleen Kleefisch | Nurse Practitioner | 492s Bierma St, Wheatfield, IN 46392-6004 | 2011-11-11 |
| 1578084240 | Heather Lynn Stokes | Nurse Practitioner | 492 S Bierma St, Wheatfield, IN 46392-6004 | 2017-07-03 |
| 1316327364 | Franciscan Health Rensselaer, Inc. | Nurse Practitioner | 492 S Bierma St, Wheatfield, IN 46392-6004 | 2015-06-04 |
| Find all providers in zip 46392 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1477192151 | Debra Susan Hayes | Family Medicine | 455 W Industrial Dr, Terre Haute, IN 47802-9266 | 2019-12-30 |
| Find all providers with the same taxonomy | ||||
| City | WHEATFIELD |
| Zip Code | 46392 |
Please comment or provide details below to improve the information on DAVID VANDERLUGT.
| 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.