Derin J Vanloon (NPI# 1568440675, PAC ID# 8426080078) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1568440675 |
PAC ID by PECOS | 8426080078 |
Professional Enrollment ID | I20050906000219 |
Full Name | Derin J Vanloon |
Organization Legal Name | DERIN J VAN LOON OD PA |
Address |
802 11th St Suite 1 Two Harbors MN 55616-1669 |
Phone Number | 2188348070 |
Gender | M |
Credential | OD |
Medical School | OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY |
Graduation Year | 1997 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 9133153117 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
213 W 1st St, Duluth, MN 55802-1909 | 2187271004 | DERIN J VAN LOON OD PA |
802 11th St, Suite 1, Two Harbors, MN 55616-1669 | 2188348070 | DERIN J VAN LOON OD PA |
Organization Legal Name | DERIN J VAN LOON OD PA |
Physicians | 1 |
Street Address |
802 11TH ST SUITE 1 |
City | TWO HARBORS |
State | MN |
Zip | 55616-1669 |
Name | Specialty | Organization | Address |
---|---|---|---|
Howard Y Josephs | Family Medicine | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
Thomas A Peterson | Family Medicine | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
Eric T Hanhan | Family Medicine | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
Sarah J Nord | Nurse Practitioner | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
Kristin D Winterer | Certified Registered Nurse Anesthetist (crna) | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
Kelsey M Schultz | Family Medicine | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
Shawn P Mcmahon | Family Medicine | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
Laura A Hase | Family Medicine | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
John W Pepelnjak Iii | Chiropractic | 408 17th Ave, Two Harbors, MN 55616-1250 | |
Cory S Thomas | Chiropractic | 408 17th Ave, Two Harbors, MN 55616-1250 | |
Find all physicians in zip 55616 |
City | TWO HARBORS |
Zip Code | 55616 |
Specialty | OPTOMETRY |
City + Specialty | TWO HARBORS + OPTOMETRY |
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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.