MARK WILLIAM VAN DYKE


Address: 306 W 11th St 2nd Fl, Erie, PA 16501-1705
Phone: 8142406216

MARK WILLIAM VAN DYKE (NPI# 1407906613) 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) 1407906613
Entity Type Individual
Full Name MARK WILLIAM VAN DYKE
Credential DO
Practice Address 306 W 11th St 2nd Fl
Erie
PA 16501-1705
Mailing Address 306 W 11th St
2nd Floor
Erie
PA 16501-1746
Practice Telephone 8142406216
Practice Fax Number 8142406219
Mailing Telephone 8142406216
Mailing Fax Number 8142406219
Enumeration Date 2007-01-11
Last Update Date 2018-04-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
OS006067E PA Allopathic & Osteopathic Physicians
Y 207RA0401X Internal Medicine
Specialization: Addiction Medicine
OS006067E PA Allopathic & Osteopathic Physicians
N 2083X0100X Preventive Medicine
Specialization: Occupational Medicine
OS006067E PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 0011147300006 05

Other Providers MARK VAN DYKE

NPI Name Taxonomy Address Enumeration
1508958067 Mark Anthony Van Dyke Social Worker 2250 N Craycroft Rd, Suite 250, Tucson, AZ 85712-2802 2006-09-29

Office Location

Street Address 306 W 11TH ST 2ND FL
City ERIE
State PA
Zip Code 16501-1705

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306496872 Maureen Grady Physician Assistant 240 West 11th Street, Suite 2, Erie, PA 16501 2019-09-17
1093291023 Passavant Development Corporation Pharmacy 1611 Peach St Ste 400, Erie, PA 16501 2018-07-12
1073043675 Stephanie Owens Specialist/Technologist 211 West 8th Street, Erie, PA 16501 2017-06-15
1114335130 Julia Campbell Occupational Therapist 207 W. 11th. St., Suite 402, Erie, PA 16501 2014-07-23
1669766481 Seth David Fox Ophthalmology 128 West 12 St, Ste 200, Erie, PA 16501 2011-06-09
1336438910 Maryna Petrasheuskaya Dentist 1611 State Street, 465, Erie, PA 16501 2011-04-04
1891092565 Amber Leann Allshouse Counselor 1602 State St Ste 390, Erie, PA 16501 2011-02-16
1225331986 Jennifer Marie Kuzmin Counselor 1001 State St Ste 1409, Erie, PA 16501 2010-12-17
1093026510 Community Health Net Pharmacy Daniel S. Snow M.d. Health Center, 1202 State Street, Erie, PA 16501 2010-06-30
1467634113 Chester Francis Battersby Sr. Chiropractor 265 West 10th St, Erie, PA 16501 2007-12-04
Find all providers in zip 16501

Taxonomy Information

Taxonomy Code 207RA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Addiction Medicine

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801283650 Amlc Internal Medicine 1455 W 38th St, Floor 2, Erie, PA 16508-2350 2015-04-20
1760685432 Center for Healing & Rehabilitation In Substance Abuse Treatment Internal Medicine 333 State St, Suite 206, Erie, PA 16507-1450 2007-06-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053957613 Global Health and Recovery Services LLC Internal Medicine 3229 Kensington Ave, Philadelphia, PA 19134-1934 2019-11-19
1952946253 Kaitlyn Renee Mackey Internal Medicine 33 Rollins Ln, Willow Street, PA 17584-8606 2019-11-10
1184177263 Cleanslate Medical Group of Pennsylvania LLC Internal Medicine 100 N Wilkes Barre Blvd Ste 103, Wilkes Barre, PA 18702-5240 2016-07-26
1831559814 Roxanne Rick Internal Medicine 2501 Mckeever St, Monongahela, PA 15063-4549 2016-03-03
1770960882 Medically Assisted Recovery Services Inc Internal Medicine 10802 Bustleton Ave, Philadelphia, PA 19116-3302 2015-04-28
1013301985 Karen Sees Internal Medicine 1266 Lindholm Road, Kane, PA 16735 2015-03-27
1144473208 Christopher Jackson Davis Internal Medicine 320 Loucks Rd, Suite 103, York, PA 17404-1752 2008-11-02
1598937245 James Craig Berman Internal Medicine 261 Standish Rd, Merion Station, PA 19066-1133 2008-04-01
1407027725 Trusandra Elaine Taylor Internal Medicine 1745 N 4th St, Philadelphia, PA 19122-3008 2008-03-14
1619081726 Bernard Amiel Harris Internal Medicine 2205 Bridge St, Philadelphia, PA 19137-1313 2006-08-18
Find all providers with the same taxonomy

Competitor

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City ERIE
Zip Code 16501

Improve Information

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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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