DR. DOUGLAS M VANDRIE (NPI# 1376557389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376557389 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS M VANDRIE |
| Credential | M.D. |
| Practice Address |
555 Midtowne Street Ne Suite 450 Grand Rapids MI 49503-5732 |
| Mailing Address |
555 Midtowne Street Ne Suite 400 Grand Rapids MI 49503-5731 |
| Practice Telephone | 6165881800 |
| Practice Fax Number | 6165881850 |
| Mailing Telephone | 6165881800 |
| Mailing Fax Number | 6165881850 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2013-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
4301037779 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1332800 | 05 |
| Street Address |
555 MIDTOWNE STREET NE SUITE 450 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-5732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629066022 | Jane Brooke Thiel | Nurse Practitioner | 555 Midtowne Street Ne, Suite 400, Grand Rapids, MI 49503-5731 | 2005-10-10 |
| 1831303668 | Jamie Lynn Rodriguez | Nurse Practitioner | 555 Midtowne Street Ne, Suite 400, Grand Rapids, MI 49503-5731 | 2007-05-10 |
| 1265542153 | Rodman Murchison Taber | Obstetrics & Gynecology | 555 Midtowne Street Ne, Suite 400, Grand Rapids, MI 49503-5731 | 2006-08-30 |
| 1790895696 | Anita Dawn Vandeburg | Obstetrics & Gynecology | 555 Midtowne Street Ne, Suite 400, Grand Rapids, MI 49503-5731 | 2006-08-30 |
| 1548370455 | Ruth Anne Brandt | Obstetrics & Gynecology | 555 Midtowne Street Ne, Suite 400, Grand Rapids, MI 49503-5731 | 2006-08-30 |
| 1073531869 | Roger W. Edvenson | Obstetrics & Gynecology | 555 Midtowne Street Ne, Suite 400, Grand Rapids, MI 49503-5731 | 2006-07-18 |
| 1245258078 | Elizabeth J. Luce | Obstetrics & Gynecology | 555 Midtowne Street Ne, Suite 400, Grand Rapids, MI 49503-5731 | 2006-07-18 |
| 1164402012 | Sharla Marie Ulstad | Obstetrics & Gynecology | 555 Midtowne Street Ne, Suite 400, Grand Rapids, MI 49503 | 2006-01-18 |
| 1063403657 | Robyn S Hubbard | Obstetrics & Gynecology | 555 Midtowne Street Ne, Suite 400, Grand Rapids, MI 49503-5731 | 2005-11-02 |
| 1871584466 | Jeffrey H Frank | Obstetrics & Gynecology | 555 Midtowne Street Ne, Suite 400, Grand Rapids, MI 49503-5731 | 2005-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417216896 | Emily English | Obstetrics & Gynecology | 4055 Cascade Rd Se, Grand Rapids, MI 49546-2149 | 2012-05-07 |
| 1093737413 | Michael L Bennett | Obstetrics & Gynecology | 555 Midtowne Stret Ne, Suite 450, Grand Rapids, MI 49503-5732 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295757631 | Jason B. Bennett | Obstetrics & Gynecology | 6745 Fulton St E Ste 101, Ada, MI 49301-8107 | 2006-07-24 |
| 1124095278 | Todd A Moyer-brailean | Obstetrics & Gynecology | 4660 S Hagadorn Rd Ste 210, East Lansing, MI 48823-5353 | 2006-03-07 |
| 1295718138 | Roger Dennis Beyer | Obstetrics & Gynecology | 7110 Stadium Dr, Kalamazoo, MI 49009-9423 | 2005-11-23 |
| 1194299339 | Rebeccah Briskin | Obstetrics & Gynecology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2019-01-21 |
| 1295153062 | Barbara Rogers | Obstetrics & Gynecology | 1200 Sixth St, Ste 400, Traverse City, MI 49684-2369 | 2014-03-31 |
| 1316205578 | Jason Paul Cruff | Obstetrics & Gynecology | 22731 Newman St Ste 200, Dearborn, MI 48124-2023 | 2012-04-25 |
| 1326053083 | Ali Maria Luck | Obstetrics & Gynecology | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2006-07-30 |
| 1053332296 | Husam Abed | Obstetrics & Gynecology | 15265 Northline Rd, Southgate, MI 48195-2487 | 2006-07-22 |
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on DR. DOUGLAS M VANDRIE.
| 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.