KRISTINA R VANDERMARK (NPI# 1366538860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366538860 |
| Entity Type | Individual |
| Full Name | KRISTINA R VANDERMARK |
| Credential | M.D. |
| Practice Address |
6401 Prairie St Suite 2100 Muskegon MI 49444-7840 |
| Mailing Address |
Po Box 1847 Muskegon MI 49443-1847 |
| Practice Telephone | 2317277939 |
| Practice Fax Number | 2317277935 |
| Mailing Telephone | 2317274444 |
| Mailing Fax Number | 2317274451 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2015-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4301076692 | MI | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
4301076692 | MI | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
4301076692 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4789630 | 05 |
| Street Address |
6401 PRAIRIE ST SUITE 2100 |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49444-7840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425567 | David A Vanwinkle | Family Medicine | 6401 Prairie St, Suite 1600, Muskegon, MI 49444-7840 | 2005-05-31 |
| 1548570062 | Lakes Obgyn Specialist | Physician Assistant | 6401 Prairie St, Suite 2100, Muskegon, MI 49444-7840 | 2010-10-18 |
| 1992988562 | Hackley Hospital | Clinic/Center | 6401 Prairie St, Suite 1200, Muskegon, MI 49444-7840 | 2007-12-06 |
| 1487727277 | Hpcn | Family Medicine | 6401 Prairie St, Suite 1600, Muskegon, MI 49444-7840 | 2006-11-17 |
| 1770673741 | Hpcn | Internal Medicine | 6401 Prairie St, Suite 2800, Muskegon, MI 49444-7840 | 2006-10-13 |
| 1477655330 | Martha F Halub | Physician Assistant | 6401 Prairie St, Suite 2100, Muskegon, MI 49444-7840 | 2006-09-02 |
| 1508970104 | Hackley Healthcare Equipment | Durable Medical Equipment & Medical Supplies | 6401 Prairie St, Suite 1100, Muskegon, MI 49444-7840 | 2006-08-19 |
| 1346256807 | Hackley Hospital | Clinic/Center | 6401 Prairie St, Suite 1200, Muskegon, MI 49444-7840 | 2006-08-01 |
| 1902810740 | Hpcn | Obstetrics & Gynecology | 6401 Prairie St, 2100, Muskegon, MI 49444-7840 | 2006-07-28 |
| 1457383937 | Surgical Specialist of W Michigan | Surgery | 6401 Prairie St, Suite 1700, Muskegon, MI 49444-7840 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084349 | Cathy Forrest, Ma, LLP Plc | Psychologist | 255 Seminole Road, Suite-205, Muskegon, MI 49444 | 2018-12-16 |
| 1831687276 | Sarah J Weiden | Massage Therapist | 1040 E Sternberg Rd, Muskegon, MI 49444 | 2018-04-30 |
| 1184131500 | Hatem M Gelani Sr. | Dentist | 1725 E Sherman Blvd, Muskegon, MI 49444 | 2018-01-08 |
| 1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
| 1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
| 1417373036 | Smile Center Pllc | Dentist | 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 | 2014-03-06 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1972847135 | Kristen Haugh | Physical Therapist | 5251 Harvey St Ste 100, Norton Shores, MI 49444 | 2012-11-12 |
| 1912261694 | Brandon D Freel | Obstetrics & Gynecology | 6401 Prairie St Ste 2100, Norton Shores, MI 49444 | 2012-06-27 |
| 1437434487 | Amy Stegall | Pharmacist | 1171 E Sherman, Norton Shores, MI 49444 | 2011-10-20 |
| Find all providers in zip 49444 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528559085 | Katherine Dale Kirby | Obstetrics & Gynecology | Mercy Health Hackley, 1700 Clinton St., Muskegon, MI 49442 | 2018-05-21 |
| 1558710590 | Caitlyn Monks | Obstetrics & Gynecology | 1675 Leahy St # 311a, Muskegon, MI 49442-5500 | 2016-06-09 |
| 1841687027 | Erica Zaworski | Obstetrics & Gynecology | 1675 Leahy St #311a, Muskegon, MI 49442 | 2015-04-24 |
| 1932420130 | Womens Medical Services of Muskegon P C | Obstetrics & Gynecology | 863 E Apple Ave, Muskegon, MI 49442-3737 | 2010-06-22 |
| 1417113747 | Michelle Paul Bahn-palma | Obstetrics & Gynecology | 1675 Leahy St Ste 315a, Muskegon, MI 49442-5543 | 2008-08-06 |
| 1356359459 | Michael L Baker | Obstetrics & Gynecology | 2005 Addison St, Muskegon, MI 49441-1602 | 2006-08-04 |
| 1760445571 | Gary L Doublestein | Obstetrics & Gynecology | 1675 Leahy St Ste 201a, Muskegon, MI 49442-5542 | 2006-04-11 |
| 1386606671 | Michael Engel | Obstetrics & Gynecology | 1828 Oak Ave, Muskegon, MI 49442-2408 | 2006-04-04 |
| 1457854770 | Jennifer Danielle Mikhail | Obstetrics & Gynecology | 1700 Clinton St, Muskegon, MI 49442-5502 | 2018-03-13 |
| 1689089716 | Brittany M Strickland | Obstetrics & Gynecology | 1675 Leahy St, Suite 311a, Muskegon, MI 49442-5500 | 2014-06-27 |
| Find all providers in MUSKEGON | ||||
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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.