Christiaan Erik De Vries (NPI# 1528349669, PAC ID# 4880833656) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1528349669 |
| PAC ID by PECOS | 4880833656 |
| Professional Enrollment ID | I20170410000242 |
| Full Name | Christiaan Erik De Vries |
| Organization Legal Name | ASSOCIATED PATHOLOGISTS LLC |
| Address |
7950 W Jefferson Blvd Fort Wayne IN 46804-4160 |
| Phone Number | 6152214474 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 0648167544 |
| Number of Group Practice Members | 82 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150150 | DUPONT HOSPITAL LLC |
| 151330 | ADAMS MEMORIAL HOSPITAL |
| 150047 | ST JOSEPH HOSPITAL |
| 150133 | KOSCIUSKO COMMUNITY HOSPITAL |
| 151318 | DUKES MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 | 2604366667 | NORTHEAST INDIANA UROLOGY. P.C. |
| 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160 | 6152214474 | ASSOCIATED PATHOLOGISTS LLC |
| Organization Legal Name | ASSOCIATED PATHOLOGISTS LLC |
| Physicians | 97 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Parisa Mansoori | Pathology | Associated Pathologists LLC | 1901 Phoenix Blvd, Suite 210, Atlanta, GA 30349-5062 |
| Maria Isabel Colome | Pathology | Associated Pathologists LLC | 1010 Airpark Ctr Dr, Suite C, Nashville, TN 37217-5200 |
| Thomas Paul Mezzetti Jr. | Pathology | Associated Pathologists LLC | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7542 |
| Pamela Archuletta | Pathology | Associated Pathologists LLC | 2101 E Dubois Dr, Warsaw, IN 46580-3210 |
| Thomas E Hanes | Pathology | Associated Pathologists LLC | 658 Grassmere Park, Nashville, TN 37211-3682 |
| Jingchuan Wang | Pathology | Associated Pathologists LLC | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
| Kathy S Bruner | Pathology | Associated Pathologists LLC | 1301 N Race St, Glasgow, KY 42141-3454 |
| Randall L Woodford | Pathology | Associated Pathologists LLC | 1900 Electric Rd, Salem, VA 24153-7474 |
| Harry K Daugherty Jr. | Pathology | Associated Pathologists LLC | 1900 Electric Rd, Salem, VA 24153-7474 |
| Xiao-lan Chen | Pathology | Associated Pathologists LLC | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
| Street Address |
7950 W JEFFERSON BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip | 46804-4160 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie L Peppler | Nurse Practitioner | Visiting Nurse and Hospice Home Inc | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Gregory L Chupp | Emergency Medicine | Emergency Medicine of Indiana LLC | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Jonathan A Staser | Diagnostic Radiology | Summit Radiology PC | 7950 W Jefferson Blvd, Lutheran Hospital of Fort Wayne, Fort Wayne, IN 46804-4140 |
| Whitney E Miller | Emergency Medicine | Emergency Medicine of Indiana LLC | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Chris J Dempsher | Pathology | Associated Pathologists LLC | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160 |
| Joseph M Donley | Emergency Medicine | Emergency Medicine of Indiana LLC | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Jacob M Capito | Emergency Medicine | Emergency Medicine of Indiana LLC | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Laura E Thomas | Nurse Practitioner | Visiting Nurse and Hospice Home Inc | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Milissa C Phillips-bohlender | Nurse Practitioner | Summit Radiology PC | 7950 W Jefferson Blvd, Lutheran Hospital of Fort Wayne, Fort Wayne, IN 46804-4140 |
| Cuthbert Simpkins | Critical Care (intensivists) | Lutheran Medical Group LLC | 7950 W Jefferson Blvd, Lutheran Hospital, Fort Wayne, IN 46804-4160 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Griffith | Speech Language Pathologist | 6205 Constitution Dr, Fort Wayne, IN 46804-1517 | |
| Michael Scherbinski | Clinical Psychologist | Prometheus Psychological Services | 6229 Constitution Dr, Fort Wayne, IN 46804-1517 |
| Jessie Whiteman | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Monique L M Levesque-hartle | Chiropractic | Allen County Chiropractic LLC | 6320 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Amy Harmeyer | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Casey Peterson | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Ashley Brown | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Nicholas Hammond | Physician Assistant | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Barbara L Starry | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Rochelle L Johnson | Nurse Practitioner | Rounding Providers | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Find all physicians in zip 46804 | |||
| City | FORT WAYNE |
| Zip Code | 46804 |
| Specialty | PATHOLOGY |
| City + Specialty | FORT WAYNE + PATHOLOGY |
Please comment or provide details below to improve the information on Christiaan Erik De Vries.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.