DR. DOUGLAS M VANDRIE


Address: 555 Midtowne Street Ne, Suite 450, Grand Rapids, MI 49503-5732
Phone: 6165881800

DR. DOUGLAS M VANDRIE (NPI# 1376557389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376557389
Entity Type Individual
Full Name DR. DOUGLAS M VANDRIE
Credential M.D.
Practice Address 555 Midtowne Street Ne
Suite 450
Grand Rapids
MI 49503-5732
Mailing Address 555 Midtowne Street Ne
Suite 400
Grand Rapids
MI 49503-5731
Practice Telephone 6165881800
Practice Fax Number 6165881850
Mailing Telephone 6165881800
Mailing Fax Number 6165881850
Enumeration Date 2006-07-27
Last Update Date 2013-09-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VF0040X Obstetrics & Gynecology
Specialization: Female Pelvic Medicine and Reconstructive Surgery
4301037779 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 1332800 05

Office Location

Street Address 555 MIDTOWNE STREET NE
SUITE 450
City GRAND RAPIDS
State MI
Zip Code 49503-5732

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629066022 Jane Brooke Thiel Nurse Practitioner 555 Midtowne Street Ne, Suite 400, Grand Rapids, MI 49503-5731 2005-10-10
1831303668 Jamie Lynn Rodriguez Nurse Practitioner 555 Midtowne Street Ne, Suite 400, Grand Rapids, MI 49503-5731 2007-05-10
1265542153 Rodman Murchison Taber Obstetrics & Gynecology 555 Midtowne Street Ne, Suite 400, Grand Rapids, MI 49503-5731 2006-08-30
1790895696 Anita Dawn Vandeburg Obstetrics & Gynecology 555 Midtowne Street Ne, Suite 400, Grand Rapids, MI 49503-5731 2006-08-30
1548370455 Ruth Anne Brandt Obstetrics & Gynecology 555 Midtowne Street Ne, Suite 400, Grand Rapids, MI 49503-5731 2006-08-30
1073531869 Roger W. Edvenson Obstetrics & Gynecology 555 Midtowne Street Ne, Suite 400, Grand Rapids, MI 49503-5731 2006-07-18
1245258078 Elizabeth J. Luce Obstetrics & Gynecology 555 Midtowne Street Ne, Suite 400, Grand Rapids, MI 49503-5731 2006-07-18
1164402012 Sharla Marie Ulstad Obstetrics & Gynecology 555 Midtowne Street Ne, Suite 400, Grand Rapids, MI 49503 2006-01-18
1063403657 Robyn S Hubbard Obstetrics & Gynecology 555 Midtowne Street Ne, Suite 400, Grand Rapids, MI 49503-5731 2005-11-02
1871584466 Jeffrey H Frank Obstetrics & Gynecology 555 Midtowne Street Ne, Suite 400, Grand Rapids, MI 49503-5731 2005-11-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801496195 Airway Oxygen, Inc. Durable Medical Equipment & Medical Supplies Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 2020-10-27
1730707282 Adriana Molina-schmuker Counselor 901 Eastern Avenue Ne, Grand Rapids, MI 49503 2020-07-10
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1124647805 Jared Host Speech-Language Pathologist Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 2020-04-13
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
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Taxonomy Information

Taxonomy Code 207VF0040X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Female Pelvic Medicine and Reconstructive Surgery

Taxonomy Definition

A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417216896 Emily English Obstetrics & Gynecology 4055 Cascade Rd Se, Grand Rapids, MI 49546-2149 2012-05-07
1093737413 Michael L Bennett Obstetrics & Gynecology 555 Midtowne Stret Ne, Suite 450, Grand Rapids, MI 49503-5732 2006-07-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295757631 Jason B. Bennett Obstetrics & Gynecology 6745 Fulton St E Ste 101, Ada, MI 49301-8107 2006-07-24
1124095278 Todd A Moyer-brailean Obstetrics & Gynecology 4660 S Hagadorn Rd Ste 210, East Lansing, MI 48823-5353 2006-03-07
1295718138 Roger Dennis Beyer Obstetrics & Gynecology 7110 Stadium Dr, Kalamazoo, MI 49009-9423 2005-11-23
1194299339 Rebeccah Briskin Obstetrics & Gynecology 2799 W Grand Blvd, Detroit, MI 48202-2608 2019-01-21
1295153062 Barbara Rogers Obstetrics & Gynecology 1200 Sixth St, Ste 400, Traverse City, MI 49684-2369 2014-03-31
1316205578 Jason Paul Cruff Obstetrics & Gynecology 22731 Newman St Ste 200, Dearborn, MI 48124-2023 2012-04-25
1326053083 Ali Maria Luck Obstetrics & Gynecology 6777 W Maple Rd, West Bloomfield, MI 48322-3013 2006-07-30
1053332296 Husam Abed Obstetrics & Gynecology 15265 Northline Rd, Southgate, MI 48195-2487 2006-07-22

Competitor

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City GRAND RAPIDS
Zip Code 49503

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Dataset Information

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.

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