MS. LAUREN MARGUERITE VANDENBERG (NPI# 1083228639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083228639 |
| Entity Type | Individual |
| Full Name | MS. LAUREN MARGUERITE VANDENBERG |
| Credential | PA-C |
| Practice Address |
701 S Health Pkwy Three Rivers MI 49093-8352 |
| Mailing Address |
3640 Fawn Cove Ln Apt 9 Portage MI 49024-3715 |
| Practice Telephone | 2692781145 |
| Mailing Telephone | 2484440070 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5601010069 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7971 Moorsbridge Rd, Portage, MI 490244075 | 2692138422 |
| Street Address |
701 S HEALTH PKWY |
| City | THREE RIVERS |
| State | MI |
| Zip Code | 49093-8352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053392779 | Srinivasan Adayapalam | Anesthesiology | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2005-11-09 |
| 1104467786 | Michael A Cell | Nurse Practitioner | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2019-10-04 |
| 1427608785 | Three Rivers Health System, Inc | Nutritionist | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2019-09-18 |
| 1952968307 | Amanda Lovell | Dietitian, Registered | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2019-05-21 |
| 1376053686 | Divleen Kaur | Physician Assistant | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2017-10-02 |
| 1821513805 | Jennifer Finnerman | Physical Therapy Assistant | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2017-08-10 |
| 1871039594 | Theresa Montmorency | Dietitian, Registered | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2017-01-19 |
| 1710338843 | Muhammad Saleem | Hospitalist | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2016-06-30 |
| 1053707885 | Elizabeth Palmer | Dietitian, Registered | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2015-04-08 |
| 1629495320 | Borgess Medical Center | Emergency Medicine | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2014-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366833865 | Brandy Peterson | Technician/Technologist | 18511 South River Rd, Three Rivers, MI 49093 | 2015-02-05 |
| 1073933958 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 800 S Us Highway 131 Ste A, Three Rivers, MI 49093 | 2014-04-18 |
| 1184927865 | Autumn Brooke Walton | Counselor | 30 N. Main St., Three Rivers, MI 49093 | 2010-12-17 |
| 1972730877 | Peggy Cahue-kuipers | Counselor | 1020 Millard, Three Rivers, MI 49093 | 2009-06-18 |
| 1215101530 | Raelene Mckeon Kent | Pediatrics | 601 S. Us 131, Three Rivers, MI 49093 | 2008-04-17 |
| 1407043722 | Assisted Living Concepts Inc | Assisted Living Facility | 1215 Ne Elm Street, Three Rivers, MI 49093 | 2007-10-01 |
| 1205047552 | Judith Anderson | Psychologist | 131 Enterprise St, Three Rivers, MI 49093 | 2007-05-25 |
| 1619013240 | Michael Angelo Cucci | Dentist | 221 North Hooker Ave, Three Rivers, MI 49093 | 2007-01-30 |
| 1659421204 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 800 S Us 131, Three Rivers, MI 49093 | 2007-01-12 |
| 1679622401 | Gail Marjorie Woods | Dentist | 57175 North Main Street, Three Rivers, MI 49093 | 2007-01-10 |
| Find all providers in zip 49093 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841835303 | Gerard M Lefebvre Jr. | Physician Assistant | 5301 Mcauley Dr Ste 5112, Ypsilanti, MI 48197-1051 | 2019-11-08 |
| 1548611023 | Michael Scott Schaeffer II | Physician Assistant | 58070 Montego Dr, New Hudson, MI 48165-9735 | 2016-06-27 |
| 1700248176 | Katilyn Kohl | Physician Assistant | 3990 John R St Ste 4905, Detroit, MI 48201-2018 | 2016-03-24 |
| 1881052363 | Surgical Assist, Plc | Physician Assistant | 4409 Gaylord Dr, Troy, MI 48098-4458 | 2016-01-29 |
| 1710342134 | Evan Reid Vandenbosch | Physician Assistant | 36622 5 Mile Rd, Suite 101, Livonia, MI 48154-1900 | 2015-12-30 |
| 1619368008 | Matthew Eisen | Physician Assistant | 1560 E Sherman Blvd Ste 9, Muskegon, MI 49444-1867 | 2015-02-06 |
| 1609214972 | Jennifer Lynn Krishnan | Physician Assistant | 3601 E 13 Mile Rd, Royal Oak, MI 48073-6769 | 2013-06-10 |
| 1093028441 | Lonna Petronella Van Ast | Physician Assistant | 1022 Ada Place Dr Se, Grand Rapids, MI 49546-3786 | 2010-07-14 |
| 1669707170 | Luke Thomas Dillon | Physician Assistant | 3100 Cross Creek Pkwy Ste 200, Auburn Hills, MI 48326-2776 | 2009-10-16 |
| 1912139544 | Richard Lawrence Burgett Sr. | Physician Assistant | 4327 Stone Ridge Dr, Traverse City, MI 49684-7958 | 2009-08-15 |
| Find all providers with the same taxonomy | ||||
| City | THREE RIVERS |
| Zip Code | 49093 |
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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.