RICHARD G VANDELLEN (NPI# 1518116797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518116797 |
| Entity Type | Individual |
| Full Name | RICHARD G VANDELLEN |
| Credential | MD |
| Practice Address |
600 4th St Sw Apt 306 Rochester MN 55902-3245 |
| Mailing Address |
200 1st St Sw Rochester MN 55905-0001 |
| Practice Telephone | 5072824565 |
| Mailing Telephone | 5072842511 |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2008-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
16759 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
600 4TH ST SW APT 306 |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55902-3245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264446 | Amber Nichelle Irby | Dental Therapist | 903 W Center St #130, Rochester, MN 55902 | 2020-08-05 |
| 1720584337 | John E Herman Home and Treatment Facility, LLC | Psychiatric Residential Treatment Facility | 351 14th Ave Sw, Rochester, MN 55902 | 2018-04-03 |
| 1912442898 | Esperanza Torres | Dental Hygienist | 903 West Center Street, Suite 130, United Way Bldg, Rochester, MN 55902 | 2016-12-30 |
| 1578971149 | Alduz Inri Surio Cabasa | Student in an Organized Health Care Education/Training Program | 609 1st Street Sw, Unit 102, Rochester, MN 55902 | 2014-07-28 |
| 1679901854 | Julie Erickson | Dental Hygienist | United Way Building Suite #208, Rochester, MN 55902 | 2013-10-24 |
| 1619313590 | Mercedes K Schulz | Dental Hygienist | 13394th Ave Sw, Rochester, MN 55902 | 2013-05-17 |
| 1093087389 | Sarah Jean Dennison | Clinic/Center | 930 West Center Street, Suite 208 United Way Bldg, Rochester, MN 55902 | 2012-02-01 |
| 1467732156 | Angela Elizabeth Peters | Registered Nurse | 1450 2nd Avenue Sw, Rochester, MN 55902 | 2011-08-25 |
| 1528350071 | Emily Zahasky Kraft | Pharmacist | 204 1st Street Sw, Rochester, MN 55902 | 2011-05-03 |
| 1093021982 | Sherry Dawn Boutcher | Dental Hygienist | 903 West Center Street Suite 208, United Way Building, Rochester, MN 55902 | 2010-08-30 |
| Find all providers in zip 55902 | ||||
| Taxonomy Code | 207RA0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Allergy & Immunology |
| An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053731414 | Luanna Yang | Internal Medicine | 10 Hagen Dr Ste 20, Rochester, NY 14625-2663 | 2014-04-23 |
| 1376820605 | Ascension St John Hospital | Internal Medicine | 1202 Walton Blvd, Suite 201, Rochester, MI 48307-6917 | 2011-11-15 |
| 1093013781 | Mahta Mortezavi | Internal Medicine | 222 Alexander St Ste 3000, Rochester, NY 14607-4047 | 2011-03-04 |
| 1932286556 | Avni Y Joshi | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-11-01 |
| 1063461432 | Douglas H Jones | Internal Medicine | 222 Alexander St, Monroe Court, Rochester, NY 14607-4039 | 2006-05-10 |
| 1770541880 | Eduardo Arreaza | Internal Medicine | 222 Alexander St, Monroe Court, Rochester, NY 14607-4039 | 2006-05-01 |
| 1588640502 | Evangelo Frigas | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-12-21 |
| 1366432981 | Robert C Czarnecki | Internal Medicine | 1135 W University Dr, Ste 135, Rochester, MI 48307 | 2005-10-25 |
| 1700876364 | Ulrich O Ringwald | Internal Medicine | 1135 W University Dr, Ste 135, Rochester, MI 48307-1871 | 2005-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386725968 | Lindsey Samuel Pearson | Internal Medicine | 11608 Terrace Rd Ne, Administrative Office, Minneapolis, MN 55434-1861 | 2006-10-18 |
| 1275822686 | Jennifer Erin Boeckman | Internal Medicine | 565 Snelling Ave S, Saint Paul, MN 55116-1525 | 2011-04-06 |
| 1922217991 | John C. Moore | Internal Medicine | 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125-2539 | 2007-05-22 |
| 1972510220 | Mee Lee Chun Nelson | Internal Medicine | 501 E Nicollet Blvd, Sye 200, Burnsville, MN 55337-6732 | 2006-08-01 |
| 1346208774 | Paul E. Dahlberg | Internal Medicine | 1020 Bandana Blvd W, Saint Paul, MN 55108-5107 | 2006-05-03 |
| 1801887054 | Mary U Keating | Internal Medicine | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2005-11-04 |
Please comment or provide details below to improve the information on RICHARD G VANDELLEN.
| 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.