DR. WENDY A. VANDYKE (NPI# 1629120621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629120621 |
| Entity Type | Individual |
| Full Name | DR. WENDY A. VANDYKE |
| Credential | D.O. |
| Practice Address |
20528 Boland Farm Rd Suite 104 Germantown MD 20876-4021 |
| Practice Telephone | 3019720400 |
| Practice Fax Number | 3019161453 |
| Mailing Telephone | 3019720400 |
| Mailing Fax Number | 3019161453 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | H0059018 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | DEA | BV6892904 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275804197 | Wendy Vandyke | Nurse Practitioner | 2455 Ne Loop 410 Ste 100, San Antonio, TX 78217-5650 | 2012-01-24 |
| Street Address |
20528 BOLAND FARM RD SUITE 104 |
| City | GERMANTOWN |
| State | MD |
| Zip Code | 20876-4021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245212489 | Gp Therapy, LLC | Physical Therapist | 20528 Boland Farm Rd, Suite 211, Germantown, MD 20876-4021 | 2005-11-15 |
| 1639701717 | Adansepipim Oforiatta | Massage Therapist | 20528 Boland Farm Rd, Germantown, MD 20876-4021 | 2020-02-06 |
| 1083063598 | Andrea Eyestone | Physician Assistant | 20528 Boland Farm Rd, Germantown, MD 20876-4021 | 2016-06-06 |
| 1962872333 | Joseph Mckelvey | Physician Assistant | 20528 Boland Farm Rd, Suite 104, Germantown, MD 20876-4021 | 2015-09-29 |
| 1497153936 | Ben Manesh Dds Vi PC | Dentist | 20528 Boland Farm Rd, Suite 212, Germantown, MD 20876-4021 | 2014-12-16 |
| 1811306657 | Madelyn Keese | Physical Therapist | 20528 Boland Farm Rd, Suite 111, Germantown, MD 20876-4021 | 2014-08-06 |
| 1043643364 | Neha Mitesh Parekh | Physical Therapist | 20528 Boland Farm Rd, Suite 211, Germantown, MD 20876-4021 | 2013-08-11 |
| 1013269489 | Thalia Olga Kirimlis | Psychologist | 20528 Boland Farm Rd, Suite 207, Germantown, MD 20876-4021 | 2012-10-10 |
| 1952650657 | Shani Glaude | Counselor | 20528 Boland Farm Rd, 207, Germantown, MD 20876-4021 | 2012-09-10 |
| 1275897720 | Luke Pritchard | Acupuncturist | 20528 Boland Farm Rd, Suite 211, Germantown, MD 20876-4021 | 2012-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296913 | Mary Furda | Physician Assistant | 20680 Seneca Meadows Pkwy Ste 206, Germantown, MD 20876 | 2019-07-02 |
| 1003379819 | Pamela Denise Murphy | Counselor | 11480 Scenery Place, Germantown, MD 20876 | 2019-04-09 |
| 1629595061 | Teresa Francisco | Home Health Aide | 1 Yellow Leaf Ct, Germatown, MD 20876 | 2017-08-25 |
| 1679943559 | Aurora Equipment Supply | Durable Medical Equipment & Medical Supplies | 11712 Doxdam Terrace, Germantown, MD 20876 | 2015-10-05 |
| 1134500564 | The Blue Door Pharmacy, LLC | Pharmacy | 19851 Observation Drive, Germantown, MD 20876 | 2015-06-11 |
| 1730570003 | Smart Pain Surgery Center At Germantown, LLC | Clinic/Center | 19851 Observation Dr., Suite 350, Germantown, MD 20876 | 2015-02-09 |
| 1902296668 | Ci-wun Huang | Pharmacy Technician | 20908 Frederick Road, Germantown, MD 20876 | 2015-02-02 |
| 1184025322 | Robert Shirley | Physical Therapist | 20500 Seneca Meadows Parkway, Germantown, MD 20876 | 2014-09-08 |
| 1285067108 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 19851 Observation Dr, Suite 450, Germantown, MD 20876 | 2013-08-14 |
| 1639430200 | Sandrine Claire Mbouyo | Home Health Aide | 11102 Cedaiblugg Ln, Germantown, MD 20876 | 2012-05-31 |
| Find all providers in zip 20876 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992334114 | Sanitas Medical Center of Tennessee PC | Family Medicine | 9155 Poplar Ave Ste 27, Germantown, TN 38138-7910 | 2020-04-08 |
| 1649823188 | Tenin A Maglo | Family Medicine | 20124 Club Hill Dr, Germantown, MD 20874-1133 | 2019-07-23 |
| 1982176830 | Paul Jonathan White | Family Medicine | 12108 Stardrift Dr, Germantown, MD 20876-5916 | 2018-12-17 |
| 1457751489 | Dermatology Realm and Family Practice | Family Medicine | 2120 Merchants Row Ste 2, Germantown, TN 38138-0806 | 2014-08-27 |
| 1508198243 | William Duer Burton | Family Medicine | 7118 Bell Manor Cv, Germantown, TN 38138-1900 | 2010-02-05 |
| 1710159694 | Kelly A Yannizzi | Family Medicine | 9047 Poplar Ave Ste 105, Germantown, TN 38138-6401 | 2008-03-31 |
| 1871703843 | Jose J Hernandez Ford | Family Medicine | 1910 Chatsworth Dr, Germantown, TN 38138-2665 | 2007-05-22 |
| 1891827390 | Cqrnell Charles Faquin | Family Medicine | 2749 Hunters Dr, Germantown, TN 38138-6224 | 2007-03-10 |
| 1720134406 | Jamshid Sheikh | Family Medicine | 20528 Boland Farm Road Suite 104, Richard N Katon and Associates Md PC, Germantown, MD 20876 | 2007-01-26 |
| 1285795120 | Asghar A Farsaii | Family Medicine | 20629 Boland Farn Road, Germantown, MD 20874 | 2006-12-13 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 20876 |
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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.