DR. THOMAS CARMINE VANDEVEN (NPI# 1972859114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972859114 |
| Entity Type | Individual |
| Full Name | DR. THOMAS CARMINE VANDEVEN |
| Credential | D.O. |
| Practice Address |
819 S 13th St Src Residency Clinic Mount Vernon WA 98274-4112 |
| Mailing Address |
819 S 13th St Mount Vernon WA 98274-4112 |
| Practice Telephone | 3608146230 |
| Mailing Telephone | 3608146230 |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2013-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 60297543 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
819 S 13TH ST SRC RESIDENCY CLINIC |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98274-4112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336435049 | Benjamin Mclaughlin | Family Medicine | 819 S 13th St, Mount Vernon, WA 98274-4112 | 2011-06-21 |
| 1003478033 | Mark Mcgrath | Student in an Organized Health Care Education/Training Program | 819 S 13th St, Mount Vernon, WA 98274-4112 | 2019-06-29 |
| 1932631538 | Cory Schmidtz | Family Medicine | 819 S 13th St, Mount Vernon, WA 98274-4112 | 2017-04-01 |
| 1467845388 | Sarah Crowe May | Family Medicine | 819 S 13th St, Mount Vernon, WA 98274-4112 | 2015-03-17 |
| 1497165252 | John Cagle | Student in an Organized Health Care Education/Training Program | 819 S 13th St, Clinic, Mount Vernon, WA 98274-4112 | 2014-05-02 |
| 1235492596 | Allison Lea Abresch-meyer | Family Medicine | 819 S 13th St, Mount Vernon, WA 98274-4112 | 2012-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123438 | Ankur Tarun Sanghvi | Peer Specialist | 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 | 2017-06-07 |
| 1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
| 1568658797 | Emily A K Bianconi | Nurse Practitioner | 2101 Little Mountain Lane, Mount Vernon, WA 98274 | 2007-09-21 |
| 1659576981 | Peggy Randall | Counselor | 1420 S 12th, Mount Vernon, WA 98274 | 2007-06-18 |
| 1194937037 | Cascade Neurologic Clinic, Inc, P.s. | Clinic/Center | 1315 East Division St., Mt. Vernon, WA 98274 | 2007-05-04 |
| 1427171297 | Keri L D Halgren | Dentist | 1711 E Division Street, Mt Vernon, WA 98274 | 2007-04-09 |
| Find all providers in zip 98274 | ||||
| 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 |
|---|---|---|---|---|
| 1669084299 | Jean Woel Latortue | Family Medicine | 506 State Tx Hwy 37, Mount Vernon, TX 75457 | 2020-08-17 |
| 1144693250 | David B. Benson, Md, Pllc | Family Medicine | 1603 S 3rd St, Mount Vernon, WA 98273-4909 | 2015-11-11 |
| 1245617828 | Choudhry Nadeem Mumtaz | Family Medicine | 209 Crossroads Pl Ste 120, Mount Vernon, IL 62864-6545 | 2015-05-02 |
| 1801221403 | Docrx, Inc. | Family Medicine | 4200 Williamson Pl, Mount Vernon, IL 62864-6705 | 2013-09-13 |
| 1457605909 | Docrx Inc | Family Medicine | 209 Crossroads Pl Ste 100, Mount Vernon, IL 62864-6545 | 2012-11-06 |
| 1427310473 | Jonathan Titus Hardin | Family Medicine | 1330 Coschocton Road, Mount Vernon, OH 43050 | 2012-06-14 |
| 1760750467 | Lower Oconee Community Hospital, Inc. | Family Medicine | 421 W Robinson Drive, Mount Vernon, GA 30445 | 2011-12-08 |
| 1336435049 | Benjamin Mclaughlin | Family Medicine | 819 S 13th St, Mount Vernon, WA 98274-4112 | 2011-06-21 |
| 1851600845 | Janet K Christiansen | Family Medicine | 13301 Egbers Kalso Rd, Mount Vernon, WA 98273-8207 | 2010-09-25 |
| 1538483722 | Lynette Marie Emery | Family Medicine | 17879 Valley Ridge Ln, Mount Vernon, WA 98274-7743 | 2010-03-17 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 98274 |
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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.