PETER FRANDSEN VANDYCK (NPI# 1669537197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669537197 |
| Entity Type | Individual |
| Full Name | PETER FRANDSEN VANDYCK |
| Credential | MD |
| Practice Address |
3320 Old Jefferson Rd Building 600 Athens GA 30607-1400 |
| Mailing Address |
3320 Old Jefferson Rd Ste 300a Athens GA 30607-1442 |
| Practice Telephone | 7065494155 |
| Practice Fax Number | 7065460036 |
| Mailing Telephone | 7065494155 |
| Mailing Fax Number | 7065460036 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2019-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
27679 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BLUE CROSS | 52022022 | 01 |
| GA | 00384997B | 05 |
| Street Address |
3320 OLD JEFFERSON RD BUILDING 600 |
| City | ATHENS |
| State | GA |
| Zip Code | 30607-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407856016 | Lindsey E. Strother | Pharmacist | 3320 Old Jefferson Rd, Bldg 700, Athens, GA 30607-1400 | 2005-07-26 |
| 1558712307 | Kristina Schultz Tanner | Nurse Practitioner | 3320 Old Jefferson Rd, Ste 700, Athens, GA 30607-1465 | 2016-06-23 |
| 1457725152 | Athens Neighborhood Health Center Inc | Clinic/Center | 3320 Old Jefferson Rd, Building 300, Athens, GA 30607 | 2015-11-18 |
| 1134501299 | Bela Amaral | Social Worker | 3320 Old Jefferson Rd, Bldg 700, Athens, GA 30607-1400 | 2015-06-25 |
| 1730573411 | Gina Powell | Pharmacist | 3320 Old Jefferson Rd, Building 700a, Athens, GA 30607-1400 | 2015-03-20 |
| 1578957221 | Katrina Head | Physician Assistant | 3320 Old Jefferson Rd, #400, Athens, GA 30607-1400 | 2015-03-20 |
| 1528451978 | Athens Regional University Cancer Center, LLC | Internal Medicine | 3320 Old Jefferson Rd, Building 700, Athens, GA 30607-1400 | 2015-03-10 |
| 1821418369 | John Brueshaber Jr. | Clinical Nurse Specialist | 3320 Old Jefferson Rd, Bldg 700, Athens, GA 30607-1400 | 2014-04-23 |
| 1477801918 | Jamie Whitsel Williams | Nurse Practitioner | 3320 Old Jefferson Rd, Building 400, Athens, GA 30607-1400 | 2012-08-15 |
| 1417224015 | James A Parker Md PC | Plastic Surgery | 3320 Old Jefferson Rd, Bulding 100, Athens, GA 30607-1400 | 2011-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972850055 | Junaid Nasir | Internal Medicine | 5105 Jefferson Rd Ste B, Athens, GA 30607 | 2012-08-08 |
| 1942588918 | Gustavo Figueiredo Marcondes Westin | Internal Medicine | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2011-07-25 |
| 1124164421 | Martin John Simmons | Dentist | 3380 Old Jefferson Road, Athens, GA 30607 | 2007-01-30 |
| 1518063338 | The Center for Plastic & Reconstructive Surgery, P.C. | Clinic/Center | 3320 Old Jefferson Rd., Building 100, Athens, GA 30607 | 2006-09-16 |
| 1730173352 | Mohan N Iyer | Ophthalmology | 2705 Jefferson Rd., Athens, GA 30607 | 2005-09-09 |
| 1669473245 | Angela G Stiles | Internal Medicine | 3320 Old Jefferson Road, Bldg 200 Ste A, Athens, GA 30607 | 2005-08-09 |
| 1326691171 | Teresa Rosser | Nurse Practitioner | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2019-07-22 |
| 1124501184 | Anna Cauthen Mcfather | Physician Assistant | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2018-09-14 |
| 1013498849 | Mary Rougeau Browning | Physician Assistant | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2018-08-29 |
| 1073092334 | Katelyn Taylor Gillespie | Nurse Practitioner | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2018-08-08 |
| Find all providers in zip 30607 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720493190 | Yuanjie Mao | Internal Medicine | 75 Hospital Dr Ste 200, Athens, OH 45701-2859 | 2014-06-24 |
| 1487882056 | Jeremy R Anthony | Internal Medicine | 2470 Daniels Bridge Rd Ste 221, Athens, GA 30606-6188 | 2009-06-23 |
| 1487865952 | Athens Diabetes and Endocrinology | Internal Medicine | 3320 Old Jefferson Rd Ste 600, Athens, GA 30607-1463 | 2007-05-25 |
| 1063476364 | Kent J. Lyon | Internal Medicine | 700 Sunset Dr Ste 601, Athens, GA 30606-7720 | 2006-04-13 |
| 1962052167 | Caap Medical Group | Internal Medicine | 700 Sunset Dr Ste 601, Athens, GA 30606-7720 | 2019-09-19 |
| 1689057234 | St. Mary's Medical Group, Inc. | Internal Medicine | 2470 Daniels Bridge Rd, Bldg 200 Suite 221, Athens, GA 30606-6187 | 2015-07-01 |
| 1366887861 | Keisha Bonhomme | Internal Medicine | 1270 Prince Ave Ste 201, Athens, GA 30606 | 2013-05-10 |
| 1396079737 | Carlos Cossio Md PC | Internal Medicine | 1077 Baxter St, Suite K, Athens, GA 30606-3767 | 2009-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427606847 | Ann W Edmundson | Internal Medicine | 15685 Rowe Rd, Milton, GA 30004-2628 | 2019-08-28 |
| 1831758846 | Diabetes and Endocrinology Associates East | Internal Medicine | 1380 Milstead Ave Ne Ste H, Conyers, GA 30012-3864 | 2019-06-12 |
| 1629453428 | Ghada Mohamed Sami Ahmed K Elshimy | Internal Medicine | 1120 15th St # Hb-5025, Augusta, GA 30912-0004 | 2015-07-22 |
| 1639552920 | Shahzeena Hafeez | Internal Medicine | 550 W Peachtree St Nw, Atlanta, GA 30308 | 2015-07-03 |
| 1295122745 | Thaer Idrees | Internal Medicine | 69 Jesse Hill Jr Dr Se Ste 200, Atlanta, GA 30303-3033 | 2015-04-22 |
| 1386056372 | Camille Frances Stanback | Internal Medicine | 550 Peachtree St Ne Ste 1950, Atlanta, GA 30308-2247 | 2014-05-23 |
| 1518377654 | John Gregory Zora | Internal Medicine | 975 Johnson Ferry Rd Ste 400, Atlanta, GA 30342-4736 | 2014-04-29 |
| 1538588249 | Wedad Rahman | Internal Medicine | 1301 Sigman Rd Ne Ste 280, Conyers, GA 30012-3947 | 2014-04-09 |
| 1427493709 | Senior Medical Systems, LLC | Internal Medicine | 220 Hills Creek Rd, Taylorsville, GA 30178-2068 | 2013-05-01 |
| 1437411592 | David Antonio Reyes Umpierrez | Internal Medicine | 550 Peachtree St Ne Fl Mot19, Atlanta, GA 30308-2247 | 2012-06-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PETER FRANDSEN VANDYCK.
| 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.