JOSEPH BENJAMIN VANDAVEER (NPI# 1689186306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689186306 |
Entity Type | Individual |
Full Name | JOSEPH BENJAMIN VANDAVEER |
Credential | PT, NCS |
Practice Address |
301 E Cherokee St Lindsay OK 73052 |
Mailing Address |
301 E Cherokee St Lindsay OK 73052-4414 |
Practice Telephone | 4057564303 |
Enumeration Date | 2017-11-03 |
Last Update Date | 2017-11-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
4228 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
301 E CHEROKEE ST |
City | LINDSAY |
State | OK |
Zip Code | 73052 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174016026 | Marilyn Kozlowski | Physical Therapist | 301 E Cherokee St, Lindsay, OK 73052 | 2018-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063068088 | Malori Lawrence | Nurse Practitioner | 707 W Comanche, Lindsay, OK 73052 | 2019-08-15 |
1962877621 | Michelle Lee Thornton | Social Worker | 15514 E County Road 1585, Lindsay, OK 73052 | 2015-12-07 |
1801287701 | Heather Jean Walker | Nurse Practitioner | 301 E Cherokee St Ste F, Lindsay, OK 73052 | 2015-02-12 |
1639434855 | Haley M Smith | Behavioral Analyst | 707 W. Comanche St., Lindsay, OK 73052 | 2012-07-13 |
1891823894 | Main Clinic PC | Family Medicine | 216 S Main, Lindsay, OK 73052 | 2007-03-01 |
1720169808 | James M Shelton | Dentist | 102 Sw 7 Th St, Lindsay, OK 73052 | 2006-10-17 |
1417038589 | Lindsay Family Dentistry | Dentist | 102 Sw 7th St., Lindsay, OK 73052 | 2006-10-17 |
1497869747 | Kari K Wahnee | Physician Assistant | 1305 W Cherokee, Lindsay, OK 73052 | 2006-08-17 |
1306866827 | Kamil S Nemri | Family Medicine | 1305 W. Cherokee, Lindsay, OK 73052 | 2006-07-20 |
1427277680 | Sue Ann Dutton | Pharmacist | 1305 W. Cherokee, Lindsay, OK 73052 | 2007-04-25 |
Find all providers in zip 73052 |
Taxonomy Code | 2251N0400X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Neurology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669083101 | Nikolaus Prescott | Physical Therapist | 109 W 130th Pl S, Jenks, OK 74037-4435 | 2020-08-10 |
1467840132 | Dawna G Riggenbach | Physical Therapist | 11706 S Willow Pl, Jenks, OK 74037-4359 | 2015-01-05 |
1073034740 | Joel Weston Greene | Physical Therapist | 700 Ne 13th St, Oklahoma City, OK 73104-5004 | 2017-07-03 |
1801276415 | Michael Andrew Williams | Physical Therapist | 1118 S Main St, Grove, OK 74344 | 2015-06-09 |
Please comment or provide details below to improve the information on JOSEPH BENJAMIN VANDAVEER.
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.