DR. JON VANDEVENTER (NPI# 1487745139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487745139 |
| Entity Type | Individual |
| Full Name | DR. JON VANDEVENTER |
| Credential | M.D. |
| Practice Address |
4500 South Lancaster Rd Dallas Va - 128 Dallas TX 75216 |
| Mailing Address |
4500 South Lancaster Road Dallas Va - 128 Dallas TX 75216 |
| Practice Telephone | 2148571757 |
| Mailing Telephone | 2148571757 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0004X |
Physical Medicine & Rehabilitation Specialization: Spinal Cord Injury Medicine |
G7958 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912038258 | Jon Tyler Vandeventer | Dentist | 8099 Rose Hill Dr, Newburgh, IN 47630-2384 | 2007-03-08 |
| Street Address |
4500 SOUTH LANCASTER RD DALLAS VA - 128 |
| City | DALLAS |
| State | TX |
| Zip Code | 75216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912905688 | Karen L Crotty | Urology | 4500 South Lancaster Rd, Dallas Va Medical Center, Dallas, TX 75216 | 2005-07-07 |
| 1811082498 | David Warren Rees | Family Medicine | 4500 South Lancaster Rd, Dallas, TX 75216 | 2006-10-03 |
| 1073618872 | Myriam Janet Rodriguez-laguer | Internal Medicine | 4500 South Lancaster Rd, Dallas, TX 75216 | 2006-09-14 |
| 1598773202 | Victoria S Paschall | Physician Assistant | 4500 South Lancaster Rd, General Internal Medicine 111e, Dallas, TX 75216-7167 | 2006-08-04 |
| 1366404303 | Heidi Shannon Vermette | Psychiatry & Neurology | 4500 South Lancaster Rd, Dallas Vamc, Mental Health, 116a, Dallas, TX 75216 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384115 | Dg Edwards Pllc | Clinic/Center | 4498 Marsalis Avenue, Dallas, TX 75216 | 2020-07-30 |
| 1407407984 | Margaret Ruth Mitchell | Technician | 4950 Wadsworth Apt 1019, Dallas, TX 75216 | 2019-09-25 |
| 1033605373 | James Sherman Mckoy | Radiology | 45oo S Lancaster Rd, Dallas, TX 75216 | 2018-07-10 |
| 1982192274 | Toni Danielle Smith | Pharmacist | 3232 Great Trinity Forest Way Ste 102a, Dallas, TX 75216 | 2018-04-23 |
| 1124546353 | Tiffany Price | Social Worker | 45oo S. Lancaster Rd., Dallas, TX 75216 | 2017-09-08 |
| 1215397476 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 150 East Illinois Ave, Dallas, TX 75216 | 2016-03-02 |
| 1629466834 | Elena Mayra Rodriguez | Physician Assistant | 3200 S Lancaster Rd Ste 180, Dallas, TX 75216 | 2014-12-23 |
| 1043651367 | Lakisha Henderson | Registered Nurse | 2619 S. Lancaster Rd, Dallas, TX 75216 | 2013-07-15 |
| 1669812871 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5050 S Lancaster Rd, Dallas, TX 75216 | 2013-07-02 |
| 1922341361 | Angela S Ayers | Home Health Aide | 302 Zang Ave, Dallas, TX 75216 | 2013-04-04 |
| Find all providers in zip 75216 | ||||
| Taxonomy Code | 2081P0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Spinal Cord Injury Medicine |
| A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. ACGME Accredited Residency Program Requirements: 1 year of training with 3-5 years in relevant specialty for a total of 4-6 years. ABMS Approved Subspecialty Certificate: (Physical Medicine and Rehabilitation) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881822674 | Joseph Benjamin Carlock | Physical Medicine & Rehabilitation | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2009-06-30 |
| 1780886580 | Jennifer Marie Juinio Yang | Physical Medicine & Rehabilitation | 5323 Harry Hines Blvd Dallas Tx 75390 7201, Dallas, TX 75390-7201 | 2007-06-04 |
| 1508972050 | Itala Manosha Wickremasinghe | Physical Medicine & Rehabilitation | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2006-08-21 |
| 1134233752 | Maria Fides M Pacheco | Physical Medicine & Rehabilitation | 4500 S Lancaster Rd, Sci Service (128), Dallas, TX 75216-7167 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598785164 | Sally Ann Holmes | Physical Medicine & Rehabilitation | 2002 Holcombe Blvd., Spinal Cord Injury Care Line (128), Houston, TX 77030 | 2006-07-19 |
| 1710935093 | David K Harris | Physical Medicine & Rehabilitation | 7307 Creekbluff Dr, Austin, TX 78750-8203 | 2006-05-05 |
| 1437617768 | Julie M Quinn | Physical Medicine & Rehabilitation | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2019-03-05 |
| 1609384213 | Pm&r Consultants, Pllc | Physical Medicine & Rehabilitation | 6441 Main St, Houston, TX 77030-1502 | 2018-01-17 |
| 1861931560 | Omni Spine Pain Management, Pllc | Physical Medicine & Rehabilitation | 4500 Hillcrest Rd, Suite 185, Frisco, TX 75035-5418 | 2017-02-15 |
| 1538477088 | Tanisha A Toaston Do Pa | Physical Medicine & Rehabilitation | 2304 Highway 121, Bedford, TX 76021-5985 | 2010-09-17 |
| 1316260979 | Center for Spine, Sports, and Rehabilitation | Physical Medicine & Rehabilitation | 2100 West Loop S, Houston, TX 77027-3515 | 2010-03-10 |
| 1629209606 | St. David's Physical Medicine and Rehabilitation, Pllc | Physical Medicine & Rehabilitation | 1015 E 32nd St, Suite 306, Austin, TX 78705-2707 | 2009-08-07 |
| 1801076617 | Michelle B. Trbovich | Physical Medicine & Rehabilitation | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2007-11-08 |
| 1497953988 | David Back Clinic of America | Physical Medicine & Rehabilitation | 3800 Hulen St, #110, Fort Worth, TX 76107-7276 | 2007-07-05 |
| Find all providers with the same taxonomy | ||||
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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.