JOSHUA GEORGE VANDERSTEEN (NPI# 1285959114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285959114 |
Entity Type | Individual |
Full Name | JOSHUA GEORGE VANDERSTEEN |
Credential | DO |
Practice Address |
5740 Crestwood Dr Ogden UT 84405-4869 |
Mailing Address |
Po Box 5546 Denver CO 80217-5546 |
Practice Telephone | 8014753380 |
Practice Fax Number | 8014753381 |
Mailing Telephone | 8014753380 |
Mailing Fax Number | 8014753381 |
Enumeration Date | 2010-04-04 |
Last Update Date | 2019-12-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
9735399-1204 | UT | Allopathic & Osteopathic Physicians |
Street Address |
5740 CRESTWOOD DR |
City | OGDEN |
State | UT |
Zip Code | 84405-4869 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669467544 | James Aaron Bledsoe | Family Medicine | 5740 Crestwood Dr, Ogden, UT 84405-4869 | 2005-09-15 |
1033729512 | Justin Robert Haslam | Nurse Practitioner | 5740 Crestwood Dr, Ogden, UT 84405-4869 | 2020-08-09 |
1376062752 | Stacie Egan | Nurse Practitioner | 5740 Crestwood Dr, Ogden, UT 84405-4869 | 2017-09-16 |
1164816906 | Amanda A Ward | Nurse Practitioner | 5740 Crestwood Dr, Ogden, UT 84405 | 2015-03-18 |
1376830414 | Lisa Miconi-correa | Nurse Practitioner | 5740 Crestwood Dr, Ogden, UT 84405-4869 | 2011-07-08 |
1205089489 | Timothy John Katsma | Physician Assistant | 5740 Crestwood Dr, Ogden, UT 84405-4869 | 2008-10-31 |
1659568293 | Natalie Jean Olson | Physician Assistant | 5740 Crestwood Dr, Ogden, UT 84405-4869 | 2007-09-27 |
1942419049 | David R Miller | Physician Assistant | 5740 Crestwood Dr, Ogden, UT 84405-4869 | 2007-05-22 |
1851320907 | Htiphysician Services Business Office | Clinic/Center | 5740 Crestwood Dr, Ogden, UT 84405-4869 | 2006-07-01 |
1841269321 | Stephen James Bruce | Family Medicine | 5740 Crestwood Dr, Ogden, UT 84405-4869 | 2006-03-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
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Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740255819 | Steven A Porter | Internal Medicine | 1508 E Skyline Dr, Ste 600, Ogden, UT 84405-4857 | 2006-02-21 |
1972503696 | Utah Digestive Health Institute | Internal Medicine | 6028 S Ridgeline Dr, #201, Ogden, UT 84405-6914 | 2005-07-22 |
1609406511 | Tanner Memorial Clinic | Internal Medicine | 6028 S Ridgeline Dr Ste 201, Ogden, UT 84405-6908 | 2020-01-20 |
1245649060 | Ihc Health Services Inc | Internal Medicine | 4403 Harrison Blvd, Ste 2600, Ogden, UT 84403-3277 | 2014-08-06 |
1730496472 | Caroline R Tadros Md, Profession Corporation | Internal Medicine | 4403 Harrison Blvd, Suite #2855, Ogden, UT 84403-3271 | 2010-09-01 |
1255527909 | Utah Digestive Health Institute | Internal Medicine | 6028 S Ridgeline Dr, Suite 201, Ogden, UT 84405-6914 | 2007-09-17 |
1760692602 | Eric G Eliason | Internal Medicine | 4403 Harrison Blvd Ste 2600, Ogden, UT 84403 | 2007-05-22 |
1235261025 | Chad M Gonzales Md PC | Internal Medicine | 4403 Harrison Blvd, Suite 2855, Ogden, UT 84403-3271 | 2007-03-09 |
1104958974 | Steven A Porter Md PC | Internal Medicine | 4403 Harrison Blvd, Suite 2855, Ogden, UT 84403-3271 | 2007-03-09 |
1669447801 | Chad Michael Gonzales | Internal Medicine | 4403 Harrison Blvd, Suite 2855, Ogden, UT 84403-3323 | 2006-02-21 |
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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.