GARY M VAN DEVENTER MD (NPI# 1053508721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053508721 |
| Entity Type | Organization |
| Organization Name | GARY M VAN DEVENTER MD |
| Practice Address |
221 W Pueblo St Suite B Santa Barbara CA 93105-6814 |
| Mailing Address |
Po Box 50706 Santa Barbara CA 93150-0706 |
| Practice Telephone | 8055630024 |
| Practice Fax Number | 8055631454 |
| Mailing Telephone | 8059633336 |
| Mailing Fax Number | 8055643332 |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2009-08-18 |
| Authorized Official Name | DR. GARY M VAN DEVENTER (PRESIDENT) |
| Authorized Official Telephone | 8059633336 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE | 100004009 | 01 |
| Street Address |
221 W PUEBLO ST SUITE B |
| City | SANTA BARBARA |
| State | CA |
| Zip Code | 93105-6814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285628933 | Gary M Van Deventer | Internal Medicine | 221 W Pueblo St, Suite B, Santa Barbara, CA 93105-6814 | 2005-09-08 |
| 1720523889 | Seth E Anderson Md Inc | Clinic/Center | 221 W Pueblo St, Ste B, Santa Barbara, CA 93105-6814 | 2016-12-28 |
| 1699961474 | Gregory S Keller | Surgery | 221 W Pueblo St, Suite A, Santa Barbara, CA 93105-6814 | 2007-09-14 |
| 1851328462 | Jennifer Sue Hoyt | Physician Assistant | 221 W Pueblo St, Suite B, Santa Barbara, CA 93105-6814 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831716307 | Christopher Robert Ray Hyde | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital- Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-07-01 |
| 1023635562 | Yana Gristan | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital - Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-07-01 |
| 1346867918 | Neelima Archana Mohan | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital-medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-06-30 |
| 1861019358 | Jerry Peng Jiang | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital -medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-06-30 |
| 1073153250 | California Telemedicine Associates, P.C. | Pediatrics | 2830 Glendessary Lane, Santa Barbara, CA 93105 | 2020-01-15 |
| 1275190233 | Paul Seo | Student in an Organized Health Care Education/Training Program | Sbch Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2019-05-24 |
| 1174009062 | Hannah Wilks Kornfeld | Student in an Organized Health Care Education/Training Program | Sbch, Surgical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-07-14 |
| 1174010896 | Thuthiri Thandar Lwin | Student in an Organized Health Care Education/Training Program | Sbch Medical Education Office, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-04-18 |
| 1649771056 | Jeremy Middleton | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education Office, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-02-22 |
| 1720593502 | Spencer E Price | Radiology | 400 W Pueblo St Dept Of, Santa Barbara, CA 93105 | 2017-12-03 |
| Find all providers in zip 93105 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861045106 | Gary M Van Deventer Md Inc | Internal Medicine | 504 W Pueblo St Ste 201, Santa Barbara, CA 93105-6211 | 2019-07-16 |
| 1285784207 | Edward Salisbury Bentley | Internal Medicine | 2403 Castillo St Ste 201, Santa Barbara, CA 93105-5316 | 2007-01-11 |
| 1285628933 | Gary M Van Deventer | Internal Medicine | 221 W Pueblo St, Suite B, Santa Barbara, CA 93105-6814 | 2005-09-08 |
| 1699185884 | Sherif Michael | Internal Medicine | 2403 Castillo St Ste 201, Santa Barbara, CA 93105-5316 | 2014-04-28 |
| 1265703300 | Elliott A Birnstein | Internal Medicine | 2403 Castillo St Ste 201, Santa Barbara, CA 93105 | 2012-01-20 |
| 1679713804 | Gutdoctors,inc | Internal Medicine | 2403 Castillo St, Suite 201, Santa Barbara, CA 93105-5316 | 2009-02-27 |
| 1679754956 | Vincent Pope Derosa | Internal Medicine | 317 W Pueblo St, Santa Barbara, CA 93105-4310 | 2007-11-15 |
| 1518007590 | Stephen Keith Lemon | Internal Medicine | 2403 Castillo St, Suite 201, Santa Barbara, CA 93105-5316 | 2007-02-07 |
| 1285772004 | Thomas Vincent Aguirre | Internal Medicine | 2403 Castillo St, Suite 201, Santa Barbara, CA 93105-5316 | 2007-02-02 |
| 1720168909 | Santa Barbara Gastroenterology Consultants | Internal Medicine | 2403 Castillo St, Suite 201, Santa Barbara, CA 93105-5316 | 2006-10-16 |
| Find all providers in SANTA BARBARA | ||||
| City | SANTA BARBARA |
| Zip Code | 93105 |
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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.