DR. MARK THOMAS VANDENBERG (NPI# 1669454807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669454807 |
| Entity Type | Individual |
| Full Name | DR. MARK THOMAS VANDENBERG |
| Credential | MD |
| Practice Address |
1215 Duff Ave Ames IA 50010-3014 |
| Practice Telephone | 5152394725 |
| Practice Fax Number | 5159564130 |
| Mailing Telephone | 5152394725 |
| Mailing Fax Number | 5159564130 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2012-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 25285 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0202259 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275752834 | Mark Randal Vandenberg | Dentist | 5801 W Britton Rd Ste B, Oklahoma City, OK 73132-2404 | 2007-04-24 |
| 1689890949 | Mark Vandenberg | Specialist | 1601 Ne 11th Ave, Ft Lauderdale, FL 33305-3171 | 2007-04-17 |
| Street Address |
1215 DUFF AVE |
| City | AMES |
| State | IA |
| Zip Code | 50010-3014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265437081 | Richard L. Glenn Jr. | Hospitalist | 1215 Duff Ave, Ames, IA 50010-5400 | 2005-06-17 |
| 1194349258 | Jessica Marie Kruckenberg | Nurse Practitioner | 1215 Duff Ave, Ames, IA 50010-5400 | 2020-06-04 |
| 1235765884 | Stephanie Moellers | Nurse Practitioner | 1215 Duff Ave, Ames, IA 50010-5469 | 2020-03-16 |
| 1902384118 | Nichole Leigh O'brien | Nurse Practitioner | 1215 Duff Ave, Ames, IA 50010-5469 | 2018-07-31 |
| 1811480056 | Christopher M Albert | Pharmacist | 1215 Duff Ave, Ames, IA 50010-5400 | 2018-06-12 |
| 1891294823 | Chelsea Sue Wickman | Nurse Practitioner | 1215 Duff Ave, Ames, IA 50010-5469 | 2018-02-05 |
| 1669929758 | Julianne Marie Rolfes | Physical Therapist | 1215 Duff Ave, Ames, IA 50010-5400 | 2016-09-06 |
| 1821471822 | Kara J. Johnson | Physician Assistant | 1215 Duff Ave, Ames, IA 50010-5400 | 2015-07-08 |
| 1568842920 | Erica Rae Bright Henricks | Nurse Practitioner | 1215 Duff Ave, Ames, IA 50010-5400 | 2015-06-01 |
| 1275943334 | Michael Stefl | Orthopaedic Surgery | 1215 Duff Ave, Ames, IA 50010-5469 | 2014-04-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851853063 | Eric Martin Mills | Social Worker | 320 South 17th Street, Ames, IA 50010 | 2019-04-05 |
| 1487147963 | Mcfarland Clinic, PC | Eyewear Supplier (Equipment, not the service) | 3500 University Blvd., Suite 1001, Ames, IA 50010 | 2018-06-11 |
| 1346733763 | Katelyn Elaine Holbrook | Occupational Therapist | 1915 Philadelphia Street, Ames, IA 50010 | 2018-06-11 |
| 1174030571 | Joshua B Hubbell | Peer Specialist | 527 E Lincoln Way #216, Ames, IA 50010 | 2018-01-08 |
| 1528426996 | Brandy Suzanne Walker | Occupational Therapist | 28201 550th Ave, Ames, IA 50010 | 2016-02-01 |
| 1386086338 | Adrienne Rae Shrader | Counselor | 600 5th Street, Suite 200, Ames, IA 50010 | 2013-07-18 |
| 1164708509 | North Central Iowa Mental Health Center Inc | Clinic/Center | 1801 20th St, Ames, IA 50010 | 2011-10-31 |
| 1669752226 | Ashley Rae Loeffelholz | Pharmacist | Nucara Pharmacy #28, 3600 University Blvd Suite 103, Ames, IA 50010 | 2011-08-26 |
| 1245544436 | Crawford Endodontics, Pllc | Dentist | 515 Grand Ave., Suite 102, Ames, IA 50010 | 2010-07-30 |
| 1023256708 | Donald Warren Powers | Family Medicine | 2538 Eisenhower, Ames, IA 50010 | 2009-02-03 |
| Find all providers in zip 50010 | ||||
| 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 |
|---|---|---|---|---|
| 1114186160 | Benjamin P Schlicher | Surgery | 1215 Duff Avenue, Ames, IA 50010-3014 | 2008-06-05 |
| 1942406038 | Gregory P Sachs | Surgery | 1215 Duff Avenue, Ames, IA 50010-3014 | 2007-06-25 |
| 1669453924 | Mark Taylor | Surgery | 1215 Duff Ave, Ames, IA 50010-3014 | 2005-11-11 |
| 1952382905 | James Enoch Partridge | Surgery | 1215 Duff Ave, Ames, IA 50010-3014 | 2005-11-08 |
| 1396734638 | Bruce M. Hardy | Surgery | 1215 Duff Ave, Ames, IA 50010-5400 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730798810 | Abhinav Seth | Surgery | 200 Hawkins Dr Dept of Organ Transplant Center, Iowa City, IA 52242-1009 | 2020-07-24 |
| 1073137485 | Jeremy Chang | Surgery | 200 Hawkins Dr Dept of Surgery, Iowa City, IA 52242-1009 | 2020-06-01 |
| 1013579077 | Apoorve Nayyar | Surgery | 200 Hawkins Dr # Surgery, Iowa City, IA 52242-1009 | 2019-06-30 |
| 1093207268 | Rafael Alejandro Ramos Vecchio | Surgery | 200 Hawkins Dr Dept Surgery, Iowa City, IA 52242-1009 | 2018-06-04 |
| 1942714514 | Donald Joseph Anderson | Surgery | 3317 Southern Hills Dr, Des Moines, IA 50321-1434 | 2017-11-19 |
| 1609304336 | Catherine Tran | Surgery | 200 Hawkins Dr Dept Gensurg, Iowa City, IA 52242-1009 | 2017-05-25 |
| 1891112579 | Isaac Hinton | Surgery | 4480 Utica Ridge Rd Ste 1124, Bettendorf, IA 52722-1644 | 2014-03-19 |
| 1215376298 | Accelecare Wound Professionals LLC | Surgery | 4225 Fleur Dr # 190, Des Moines, IA 50321-2325 | 2013-06-23 |
| 1952749111 | Abhishek Krishna Kashyap | Surgery | Department of Surgery, 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2013-06-10 |
| 1063858553 | Phillip Gabriel Bailey | Surgery | 1515 Delhi St Ste 200, Dubuque, IA 52001-6320 | 2013-05-11 |
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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.