KELLYANN VANDENDOOL (NPI# 1366797615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366797615 |
| Entity Type | Individual |
| Full Name | KELLYANN VANDENDOOL |
| Credential | MD |
| Practice Address |
7 Atkinson Dr Ste 205 Ludington MI 49431-1953 |
| Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 2318433717 |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2020-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 4301111681 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
7 ATKINSON DR STE 205 |
| City | LUDINGTON |
| State | MI |
| Zip Code | 49431-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144215104 | Daniel G Reum | Urology | 7 Atkinson Dr Ste 205, Ludington, MI 49431-1953 | 2005-09-15 |
| 1689080756 | Keith David Langlois | Surgery | 7 Atkinson Dr Ste 205, Ludington, MI 49431-1953 | 2014-07-09 |
| 1316963374 | Bret Gregory Autrey | Surgery | 7 Atkinson Dr Ste 205, Ludington, MI 49431-1953 | 2006-07-14 |
| 1275513079 | Max Rizer | Urology | 7 Atkinson Dr Ste 205, Ludington, MI 49431-1953 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972006690 | Marti Miller | Physical Therapist | 5916 Iris Rd., Ludington, MI 49431 | 2018-03-09 |
| 1700258670 | Leslie Hahn Ezdebski | Registered Nurse | 318 River St., Suite B, Manistee, MI 49431 | 2015-10-30 |
| 1477888618 | Kathleen M Tooman | Orthotic Fitter | 901 E Tinkham Avenue, Ludington, MI 49431 | 2009-10-06 |
| 1790831592 | Roger Edgren Ostling | Social Worker | 1027 N Rath, Ludington, MI 49431 | 2007-01-25 |
| 1487734364 | Kathryn Jean Niemeyer | Nurse Practitioner | 5 Atkinson Drive, Suite #207, Ludington, MI 49431 | 2006-10-16 |
| 1609986405 | Vivek Thakore | Clinic/Center | 5511 West Us 10 Hwy, Ludington, MI 49431 | 2006-08-30 |
| 1295747756 | Barbara Sleder | Nurse Practitioner | 1 North Atkinson Dr, Ludington, MI 49431 | 2006-08-13 |
| 1083653893 | William L Ingle Dc | Chiropractor | 321 N Jebavy Drive, Ludington, MI 49431 | 2006-06-06 |
| 1366429706 | Andrew S Riemer | Ophthalmology | 5959 Lawndale St, Ludington, MI 49431 | 2005-12-28 |
| 1699240085 | Toby Wessel, Lmsw, Pllc | Social Worker | 612 Sherman Oaks Dr, Ludington, MI 49431 | 2018-10-11 |
| Find all providers in zip 49431 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609861210 | Donald N Schwing | Surgery | 5 N Atkinson Dr, Suite 205, Ludington, MI 49431-2918 | 2005-09-20 |
| 1730171604 | Nizar A Umran | Surgery | 5 Atkinson Dr Ste 205, Ludington, MI 49431-2918 | 2005-08-17 |
| 1669842308 | Memorial Center of West Michigan | Surgery | 7 N Atkinson Dr, Ludington, MI 49431-1953 | 2015-10-06 |
| 1689080756 | Keith David Langlois | Surgery | 7 Atkinson Dr Ste 205, Ludington, MI 49431-1953 | 2014-07-09 |
| 1467892364 | Gabriel Bakula Corvetto | Surgery | 5656 W Us Highway 10, Ludington, MI 49431-2454 | 2013-06-25 |
| 1194925081 | Surgical Associates of Ludington PC | Surgery | 7 N Atkinson Dr, Suite 112, Ludington, MI 49431-1953 | 2007-07-19 |
| 1720166648 | Richard S York | Surgery | 5 N Atkinson Dr, Suite 201, Ludington, MI 49431-2918 | 2006-11-01 |
| 1316963374 | Bret Gregory Autrey | Surgery | 7 Atkinson Dr Ste 205, Ludington, MI 49431-1953 | 2006-07-14 |
| 1003832072 | Bret G. Autrey D.o., Pllc | Surgery | 7 N Atkinson Dr, Suite 112, Ludington, MI 49431-1953 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508475237 | Dr Dayhim Pllc | Surgery | 12203 Shearwater Cir, Commerce Township, MI 48390-4260 | 2020-07-28 |
| 1922624923 | Dr Anthony Joseph Md Pllc | Surgery | 2330 S Milford Rd Ste 120, Highland, MI 48357-4982 | 2020-06-25 |
| 1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
| 1922623081 | Joon B Kim | Surgery | 1200 Michigan Ave Ste 655, East Lansing, MI 48823-4099 | 2020-06-14 |
| 1932724101 | Alec Jerry Raniwsky | Surgery | 22250 Providence Drive 7pmb Suite #703a, Southfield, MI 48075-4825 | 2020-06-12 |
| 1184245771 | Upper Michigan Associates LLC | Surgery | 1414 W Fair Ave Ste 235, Marquette, MI 49855-5406 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1487275509 | Erika C Michelin | Surgery | 28080 Grand River Ave Ste 208, Farmington Hills, MI 48336-5966 | 2020-04-29 |
| 1063047629 | Suzanne A. Law, D.o., P.C. | Surgery | G4007 W Court St Ste E, Flint, MI 48532-3560 | 2020-03-04 |
| 1801454871 | Dakita Mack | Surgery | 28050 Grand River Ave Ste 208n, Farmington Hills, MI 48336-5919 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
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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.