MR. JOHN EDWARD VANMETRE (NPI# 1669474284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669474284 |
| Entity Type | Individual |
| Full Name | MR. JOHN EDWARD VANMETRE |
| Credential | M.D. |
| Practice Address |
4504 N. Laurent St. Victoria TX 77901-2743 |
| Practice Telephone | 3615739999 |
| Practice Fax Number | 3615739973 |
| Mailing Telephone | 3615739999 |
| Mailing Fax Number | 3615739973 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2012-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 19417 | NE | Other Service Providers |
| Y | 207Q00000X | Family Medicine | P1604 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BLUE CROSS BLUE SHIELD NE | 01597 | 01 |
| Street Address |
4504 N. LAURENT ST. |
| City | VICTORIA |
| State | TX |
| Zip Code | 77901-2743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639405061 | Jack D Gray | Nurse Practitioner | 4504 N. Laurent St., Victoria, TX 77901 | 2009-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962540 | Uc Management Group LLC | Nurse Practitioner | 1908 N Laurent St Ste 410, Victoria, TX 77901 | 2020-08-12 |
| 1558823336 | Uzoma Melissa Obi-nwankwo | Family Medicine | Detar Family Medicine Center, 501 E Colorado St., Victoria, TX 77901 | 2019-04-02 |
| 1871058099 | Still Water Springs | Counselor | 103 East Airline Road, Suite 3, Victoria, TX 77901 | 2019-02-01 |
| 1811488349 | Victoria Np Clinic Pllc | Nurse Practitioner | 606 E. Nueces St, Victoria, TX 77901 | 2018-05-21 |
| 1003324823 | Raul Hernandez | Physical Therapy Assistant | 101 W Goodwin Ave Ste 600, Victoria, TX 77901 | 2018-01-15 |
| 1568916153 | Bdcv / Vpsc Associates, LLC | Dietitian, Registered | 4206 N Ben Jordan Street, Victoria, TX 77901 | 2016-08-11 |
| 1801349535 | James H Jarrett Jr. | Dietitian, Registered | 4206 N. Ben Jordan Street, Victoria, TX 77901 | 2016-07-29 |
| 1508218736 | Philip Henneke | Case Manager/Care Coordinator | 1802 N. Laurent, Victoria, TX 77901 | 2016-07-12 |
| 1194084145 | Kelly E. Rogers | Speech-Language Pathologist | 2903 B. Azalea St., Victoria, TX 77901 | 2012-05-11 |
| 1023393790 | Frederick B Niegos Mdpa | Internal Medicine | 2700 Citizens Plaza, Suite 206, Victoria, TX 77901 | 2011-10-13 |
| Find all providers in zip 77901 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801401856 | Denise Mary Tomanek | Family Medicine | 218 Cobble Stone Ct, Victoria, TX 77904-2975 | 2020-09-15 |
| 1558823336 | Uzoma Melissa Obi-nwankwo | Family Medicine | Detar Family Medicine Center, 501 E Colorado St., Victoria, TX 77901 | 2019-04-02 |
| 1841786332 | Victoria Family Medical Clinic Pa | Family Medicine | 2806 N Navarro St Ste D, Victoria, TX 77901-3937 | 2018-07-08 |
| 1851802995 | Natural Wellness of Texas, Inc | Family Medicine | 2601 N Azalea St Ste 31, Victoria, TX 77901-4151 | 2017-10-16 |
| 1235585381 | Daniel Espinosa | Family Medicine | 601 E San Antonio St Ste 102w, Victoria, TX 77901-6051 | 2016-05-08 |
| 1013328160 | Julia Shae Krause-castaneda | Family Medicine | 102 Springwood Dr, Victoria, TX 77904-3501 | 2014-05-12 |
| 1275801342 | Nicholas Lin Mdpa | Family Medicine | 2700 Citizens Plaza, Suite 101, Victoria, TX 77901-5756 | 2011-12-05 |
| 1922273176 | Kishan Chand | Family Medicine | 2700 Citizens Plz Ste 301, Victoria, TX 77901-5755 | 2008-04-29 |
| 1831386549 | Hop Medical Services, M.d.p.a. | Family Medicine | 1902 John Stockbauer Drive, Suite 300, Victoria, TX 77904 | 2007-09-26 |
| 1588855290 | Med C Clinico | Family Medicine | 3804 John Stockbauer, Suite E, Victoria, TX 77904 | 2007-08-07 |
| Find all providers in VICTORIA | ||||
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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.