PAUL KENDALL VANDOORN (NPI# 1114586534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114586534 |
| Entity Type | Individual |
| Full Name | PAUL KENDALL VANDOORN |
| Practice Address |
5500 Millersfield Dr Apt 104 Columbus OH 43232-7765 |
| Practice Telephone | 6142603897 |
| Mailing Telephone | 6142603897 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 00451 | OH | Other Service Providers |
| Street Address |
5500 MILLERSFIELD DR APT 104 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43232-7765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831739119 | Evina Emvoutou | Community Health Worker | 2166 Riverdale Square, Columbus, OH 43232 | 2020-01-14 |
| 1538712484 | Dominic Nchamukong | Nurse Practitioner | 4646 Hilton Corporate Dr, Columbus, OH 43232 | 2019-07-19 |
| 1871058602 | Angelique Jackson | Registered Nurse | 2376 Carlford Street, Columbus, OH 43232 | 2019-02-06 |
| 1033693569 | Mount Carmel Behavioral Healthcare, LLC | Psychiatric Hospital | 4646 Hilton Corporate Drive, Columbus, OH 43232 | 2018-09-20 |
| 1720500523 | Annie D Jordan | Home Health Aide | 5049 Gunston Dr, Columbus, OH 43232 | 2017-07-13 |
| 1750755286 | Stephanie Baker | Community Health Worker | 6127 Roselawn Ave, Columbus, OH 43232 | 2015-11-20 |
| 1982076527 | Nicole Allen | Licensed Practical Nurse | 2067 Prestwick Drive, Columbus, OH 43232 | 2015-10-22 |
| 1508255357 | Andrea Tarr | Licensed Practical Nurse | 2492 Daily Rd, Columbus, OH 43232 | 2015-01-16 |
| 1205240694 | Alemsege Berhe | Licensed Practical Nurse | 1841 Riverdale Rd, Cplumbus, OH 43232 | 2014-06-13 |
| 1386987048 | Mikeyla Burrs | Licensed Practical Nurse | 1622 Noe Bixby Rd Apt C, Columbus, OH 43232 | 2013-04-01 |
| Find all providers in zip 43232 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467068692 | Ryan Bailey | Peer Specialist | 1576 Omar Dr, Columbus, OH 43207-2746 | 2020-09-22 |
| 1467062117 | Julie A Leach | Peer Specialist | 36 Santa Maria Ln, Columbus, OH 43213-1843 | 2020-08-07 |
| 1932739042 | Michael Stephen Barrett | Peer Specialist | 490 Forest St, Columbus, OH 43206-2316 | 2020-01-17 |
| 1225678386 | John William Burdeshaw | Peer Specialist | 3916 Valley Rd, Columbus, GA 31907-5657 | 2020-01-07 |
| 1942848619 | Jacqueline T Doodley | Peer Specialist | 2475 Perdue Ave, Columbus, OH 43211-1876 | 2019-12-12 |
| 1679114508 | Jacqueline Johnson | Peer Specialist | 773 Gilbert St, Columbus, OH 43206-1516 | 2019-10-02 |
| 1184275992 | Steven Sweatte | Peer Specialist | 311 Taylor Ave, Columbus, OH 43203-1757 | 2019-09-23 |
| 1184279671 | Anthony B Cook | Peer Specialist | 2834 S High St, Columbus, OH 43207-3660 | 2019-08-02 |
| 1801448717 | Cale Burke | Peer Specialist | 1796 Stilton Ave, Columbus, OH 43228-4574 | 2019-07-10 |
| 1326608043 | Erica N Tynes | Peer Specialist | 6370 Ambleside Dr Apt C, Columbus, OH 43229-1994 | 2019-06-14 |
| Find all providers in COLUMBUS | ||||
Please comment or provide details below to improve the information on PAUL KENDALL VANDOORN.
| 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.