LOREN MILLARD VANDEUSEN (NPI# 1609971589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609971589 |
| Entity Type | Individual |
| Full Name | LOREN MILLARD VANDEUSEN |
| Credential | M.D. |
| Practice Address |
3636 Broadway Grove City OH 43123-2202 |
| Practice Telephone | 6148713234 |
| Practice Fax Number | 6148711494 |
| Mailing Telephone | 6148713234 |
| Mailing Fax Number | 6148711494 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
51677 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
3636 BROADWAY |
| City | GROVE CITY |
| State | OH |
| Zip Code | 43123-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063406106 | Steven F. Brezny | Family Medicine | 3636 Broadway, Grove City, OH 43123-2202 | 2005-09-05 |
| 1376976910 | Moira Skuratowicz | Nurse Practitioner | 3636 Broadway, Grove City, OH 43123-2202 | 2013-08-19 |
| 1639264351 | Central Ohio Family Physicians Inc. | Clinic/Center | 3636 Broadway, Grove City, OH 43123-2202 | 2006-10-04 |
| 1780790790 | Matthew D. Cook | Family Medicine | 3636 Broadway, Grove City, OH 43123-2202 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165225 | Leetonya Henley | Registered Nurse | 4499 Rishel Street, Grove City, OH 43123 | 2020-05-14 |
| 1235792268 | Yunbo Tian | Student in an Organized Health Care Education/Training Program | Transitional Year, 5300 North Meadows Dr., Grove City, OH 43123 | 2019-04-16 |
| 1316402845 | Kristina Wojcik | Counselor | 5665 Hoover Road, Grove City, OH 43123 | 2019-02-08 |
| 1487134581 | Orthopedic One, Inc. | Orthopaedic Surgery | 5500 N. Meadows Drive, Grove City, OH 43123 | 2018-08-17 |
| 1699253658 | Ohiohealth Corporation | Pharmacy | 1375 Stringtown Road, Grove City, OH 43123 | 2018-08-01 |
| 1881102911 | Buckeye Anti-aging and Aesthetics | General Practice | 3699 Garden Ct, Grove City, OH 43123 | 2018-01-10 |
| 1093221764 | Alonda Shantel Long | Case Manager/Care Coordinator | 5665 Hoover Rd., Grove City, OH 43123 | 2017-12-18 |
| 1417466673 | Robert William Frazier Jr. | Social Worker | 3770 Santa Maria Dr., Grove City, OH 43123 | 2017-09-20 |
| 1053830885 | Grove City Surgery Center LLC | Clinic/Center | 1325 Stringtown Rd, Suite 100, Grove City, OH 43123 | 2017-09-13 |
| 1295253292 | Lori Little | Adult Companion | 5233 Thornhill Ct, Grove City, OH 43123 | 2017-08-30 |
| Find all providers in zip 43123 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217352 | Melissa Anne Peters | Family Medicine | 2041 Stringtown Rd, Grove City, OH 43123-2930 | 2020-08-26 |
| 1972535094 | James Cameron Johnson | Family Medicine | 4160 Broadway, Grove City, OH 43123-3024 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053941518 | Luciana Sonnenlitter | Family Medicine | 33703 Lake Rd, Avon Lake, OH 44012-1009 | 2020-01-23 |
| 1952950453 | Care Excellence LLC | Family Medicine | 3622 Belmont Ave Ste 20, Youngstown, OH 44505-1444 | 2019-09-06 |
| 1689027500 | Annemarie E Miller | Family Medicine | 26900 Cedar Rd. Beachwood Family Health & Surgery Cente, Beachwood, OH 44122 | 2016-07-15 |
| 1952708786 | Dr. Paul Wilson, Inc | Family Medicine | 440 S Reynolds Rd Ste B, Toledo, OH 43615-5900 | 2014-11-21 |
| 1568875409 | Integrated Healthcare LLC | Family Medicine | 222 Heathermere Loop, Galena, OH 43021-8053 | 2014-06-09 |
| 1184964389 | James William Ferraro II | Family Medicine | 750 E Broad St Ste 200, Columbus, OH 43205-1190 | 2013-02-25 |
| 1447526983 | Robert James Cromley II | Family Medicine | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 | 2012-03-29 |
| 1831418177 | Gary Lowell Whitacre | Family Medicine | 5555 Scarborough Blvd, Columbus, OH 43232-4730 | 2010-05-26 |
| 1346579315 | Daniel Allen Franklin | Family Medicine | 3976 Sandtrap Cir, Mason, OH 45040-2171 | 2009-12-21 |
| 1376879221 | Mvhe Inc | Family Medicine | 1685 S Main St, Suite 360, Springboro, OH 45066-1524 | 2009-10-28 |
| Find all providers with the same taxonomy | ||||
| City | GROVE CITY |
| Zip Code | 43123 |
Please comment or provide details below to improve the information on LOREN MILLARD VANDEUSEN.
| 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.