JOHN A. VANDE WAA (NPI# 1447290630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447290630 |
| Entity Type | Individual |
| Full Name | JOHN A. VANDE WAA |
| Credential | DO, PHD |
| Practice Address |
2451 Fillingim St Mastin Bldg Mobile AL 36617-2238 |
| Mailing Address |
Po Box 40480 Mobile AL 36640-0480 |
| Practice Telephone | 2514705890 |
| Practice Fax Number | 2514717925 |
| Mailing Telephone | 2514705890 |
| Mailing Fax Number | 2514717925 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2015-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
DO-401 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009975140 | 05 | |
| AL | 000023305 | 05 | |
| AL | BCBS | 51023305 | 01 |
| AL | BCBS | 51505303 | 01 |
| MS | 00121697 | 05 | |
| AL | 009935162 | 05 | |
| AL | BCBS - FILLINGIM ST | 51543343 | 01 |
| FL | 255961700 | 05 | |
| FL | 1503762 | 05 | |
| AL | BCBS | 51532424 | 01 |
| AL | UNITED HEALTHCARE | 92-10077 | 01 |
| Street Address |
2451 FILLINGIM ST MASTIN BLDG |
| City | MOBILE |
| State | AL |
| Zip Code | 36617-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225036312 | Roy E Gandy | Surgery | 2451 Fillingim St, Mastin 101, Mobile, AL 36617-2238 | 2005-07-12 |
| 1629635818 | Usa Health Anesthesia Billing Services, LLC | Nurse Anesthetist, Certified Registered | 2451 Fillingim St, Mobile, AL 36617-2238 | 2019-05-22 |
| 1629575865 | Onesmus Kiprotich Too | Nurse Anesthetist, Certified Registered | 2451 Fillingim St, Mobile, AL 36617-2238 | 2018-04-12 |
| 1851894943 | Christine Choquette | Nurse Practitioner | 2451 Fillingim St, Mobile, AL 36617-2238 | 2018-03-14 |
| 1942720834 | Erin B Cunningham | Nurse Practitioner | 2451 Fillingim St, Mobile, AL 36617-2238 | 2017-06-22 |
| 1720511017 | Richard Ross Rieske | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St, Mstn 315, Mobile, AL 36617-2238 | 2017-04-04 |
| 1588196935 | Anam Iftikhar Chouhdry | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St, Res Box 7th Floor, Mobile, AL 36617-2238 | 2017-04-03 |
| 1417489063 | Joseph Arnell Jones Iv | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St, Res Box 7th Floor, Mobile, AL 36617-2238 | 2017-04-03 |
| 1912439670 | Ryan Mikel Burdette Kiser | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St, 10-f, Mobile, AL 36617-2238 | 2017-03-31 |
| 1497287353 | Fares Hujier | Internal Medicine | 2451 Fillingim St, Resident Box 7th Floor, Mobile, AL 36617 | 2017-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871118760 | Travis Berry | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2020-06-16 |
| 1164064978 | Crystal Aerin Deweever | Counselor | 2400 Gordon Smith Dr., Mobile, AL 36617 | 2019-10-14 |
| 1871145938 | Sagar Kumar | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr. Rm 714, Mobile, AL 36617 | 2019-07-09 |
| 1639630882 | Sarah Anderson | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Drive, Moorer Bldg. Room 120, Mobile, AL 36617 | 2019-03-29 |
| 1215415120 | Fnu Sameeta | Student in an Organized Health Care Education/Training Program | 2451 Usa Med Center Drive, Moorer Building Room 120, Mobile, AL 36617 | 2018-08-02 |
| 1659857670 | Sara Roberta Avalos Hernandez | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Drive, Moorer Building, Rm 120, Mobile, AL 36617 | 2018-07-12 |
| 1669978359 | Colin Thomas Buckley | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr. Rm 714, Mobile, AL 36617 | 2018-04-02 |
| 1336644590 | Shuo Shawn Liu | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2018-03-28 |
| 1609308741 | Kulwant Singh Bath | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St Res Box 7th Floor, Mobile, AL 36617 | 2017-03-29 |
| 1780115238 | Lindsay Dianne Williams | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St., Mst 709, Mobile, AL 36617 | 2017-03-27 |
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| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1457918179 | Usa Health Physician Billing Services LLC | Internal Medicine | 2451 University Hospital Drive, Mastin 102, Mobile, AL 36617-2238 | 2019-05-29 |
| 1457864175 | Amber Mahmood Bokhari | Internal Medicine | 2451 University Hospital Dr, Mastin 102, Mobile, AL 36617-2238 | 2017-11-16 |
| 1962862656 | University of South Alabama | Internal Medicine | 2451 Fillingim St, Mstn Bldg, Mobile, AL 36617-2238 | 2016-02-24 |
| 1205883154 | Shannon K. Tyler | Internal Medicine | 2451 Fillingim St, Mastin Bldg., Mobile, AL 36617-2238 | 2006-05-27 |
| 1376591982 | Albert S. Coker | Internal Medicine | 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1407 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831584556 | Lily Colpitts | Internal Medicine | 4704 Cahaba River Rd Ste D, Birmingham, AL 35243-2344 | 2015-03-31 |
| 1750707824 | Scott D Parker Md LLC | Internal Medicine | 250 Chateau Dr Sw Ste 115, Huntsville, AL 35801-3497 | 2014-03-12 |
| 1306109103 | Birmingham Infectious Diseases, PC | Internal Medicine | 4704 Cahaba River Rd Ste 101d, Birmingham, AL 35243-2344 | 2012-06-18 |
| 1699032649 | Jo Hofmann | Internal Medicine | Division of Infectious Diseases, Uab, 1900 University Blvd Tht 215, Birmingham, AL 35233 | 2012-04-16 |
| 1780982546 | Richard A Kaslow | Internal Medicine | 1665 University Blvd, Ryals 220, Birmingham, AL 35294 | 2011-03-03 |
| 1841506870 | Jean Hilaire Vincent | Internal Medicine | 541 W College St Ste 2400, Florence, AL 35630-5320 | 2010-08-27 |
| 1134452279 | Andres Felipe Gutierrez Ordonez | Internal Medicine | 1102 Monroe St Sw, Huntsville, AL 35801-5029 | 2009-09-08 |
| 1003090986 | Jodie Ann Dionne-odom | Internal Medicine | 908 20th Street South 1917 Clinic, Birmingham, AL 35294 | 2007-12-27 |
| 1841494515 | Karen Fagin Md LLC | Internal Medicine | 2000 Pepperell Pkwy Bldg 190, Opelika, AL 36801-5452 | 2007-06-14 |
| 1578624508 | Greer Anne Burkholder | Internal Medicine | 908 South 20th Street, Ccb 2nd Floor, Birmingham, AL 35294-2050 | 2006-12-13 |
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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.