Timothy A Vandyne (NPI# 1679579460, PAC ID# 6204096779) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1679579460 |
| PAC ID by PECOS | 6204096779 |
| Professional Enrollment ID | I20120321000532 |
| Full Name | Timothy A Vandyne |
| Address |
5777 N Fresno St Suite 102 Fresno CA 93710-6065 |
| Gender | M |
| Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050708 | FRESNO SURGICAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5777 N Fresno St, Suite 102, Fresno, CA 93710-6065 |
| Street Address |
5777 N FRESNO ST SUITE 102 |
| City | FRESNO |
| State | CA |
| Zip | 93710-6065 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Bowen | Chiropractic | 5777 N Fresno St, Suite 101, Fresno, CA 93710-6065 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexandra Debenedetto | Chiropractic | 1706 E Bullard St, Suite 101, Fresno, CA 93710 | |
| Perminder J S Bhatia | Neurology | Neuro-pain Medical Center Inc | 736 E Bullard, Suite 101, Fresno, CA 93710 |
| David Nicholas Baker | Physician Assistant | Neuro-pain Medical Center Inc | 736 E Bullard, Suite 101, Fresno, CA 93710 |
| Robert P Hansen | Undefined Physician Type (specify) | 6721 N Willow Ave, Suite 101, Fresno, CA 93710-0000 | |
| Paul Ky | Physical Medicine and Rehabilitation | 6769 N Fresno St, Suite 206, Fresno, CA 93710-3715 | |
| Pa Heu | Family Medicine | 6769 N Fresno St, Suite 204, Fresno, CA 93710-3715 | |
| Jane F Kardashian | Dermatology | 6769 N Fresno St, Fresno, CA 93710-3715 | |
| Ogonna I Onyeje | Internal Medicine | 6769 N Fresno St, Suite 201, Fresno, CA 93710-3715 | |
| Ifeatu Emmanuel Ekelem | Family Practice | Impact Medical Group Professional Corporation | 6769 N Fresno St, Suite 201, Fresno, CA 93710-3715 |
| Aryan Pazirandeh | Optometry | David B Kaye, Md, Inc | 6767 N Fresno St, Fresno, CA 93710-3739 |
| Find all physicians in zip 93710 | |||
| City | FRESNO |
| Zip Code | 93710 |
| Specialty | PODIATRY |
| City + Specialty | FRESNO + PODIATRY |
Please comment or provide details below to improve the information on Timothy A Vandyne.
| 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.