KENNETH G VANDINE MDPC (NPI# 1881783819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881783819 |
| Entity Type | Organization |
| Organization Name | KENNETH G VANDINE MDPC |
| Practice Address |
12 Martin St Wellsville NY 14895-1057 |
| Practice Telephone | 5855936041 |
| Mailing Telephone | 5855936041 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2010-10-04 |
| Authorized Official Name | ERIC PAUL VOSSLER (OFFICE MANAGER) |
| Authorized Official Telephone | 5855936041 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01579717 | 05 |
| Street Address |
12 MARTIN ST |
| City | WELLSVILLE |
| State | NY |
| Zip Code | 14895-1057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104810944 | Christopher R Depner | Family Medicine | 12 Martin St, Wellsville, NY 14895-1057 | 2005-09-08 |
| 1609356526 | Jennifer Updyke | Radiologic Technologist | 12 Martin St, Wellsville, NY 14895 | 2018-08-20 |
| 1689994147 | Bradley Alan Speta | Nurse Practitioner | 12 Martin St, Wellsville, NY 14895-1057 | 2010-06-08 |
| 1053432922 | Eric P Vossler | Technician/Technologist | 12 Martin St, Wellsville, NY 14895-1057 | 2007-04-02 |
| 1386725323 | Robert Joseph Maiden | Psychologist | 12 Martin St, Suite 3, Wellsville, NY 14895 | 2006-10-18 |
| 1336255983 | Kenneth G Vandine | Ophthalmology | 12 Martin St, Wellsville, NY 14895-1057 | 2006-08-23 |
| 1659487213 | Gary L Cook | Optometrist | 12 Martin St, Wellsville, NY 14895-1057 | 2006-08-23 |
| 1306952981 | Kurt T Benham | Ophthalmology | 12 Martin St, Wellsville, NY 14895-1057 | 2006-08-23 |
| 1629098066 | Christopher R. Depner,m.d. | Family Medicine | 12 Martin St, Wellsville, NY 14895-1057 | 2006-07-20 |
| 1780603894 | Deborah A Vossler | Nurse Practitioner | 12 Martin St, Wellsville, NY 14895-1057 | 2006-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844992 | Sadie R Cole | Registered Nurse | 4220 Route 417 West, Wellsville, NY 14895 | 2020-09-01 |
| 1376102558 | Theresa L. Golish | Home Health Aide | 125 South Broad St., Wellsville, NY 14895 | 2019-06-11 |
| 1104374339 | Christina Scott | Counselor | 4220 Ny 417, Wellsville, NY 14895 | 2016-09-16 |
| 1740626498 | Jami Nichole Gariepy | Occupational Therapist | 95 N Main Street, Wellsville, NY 14895 | 2013-05-21 |
| 1548606999 | Shauna Lynne Mcconnell | Registered Nurse | 94 N. Main Street, Suite 4, Wellsville, NY 14895 | 2013-05-13 |
| 1134497795 | Rose Mary Vossler | Registered Nurse | 50-98 School Street, Wellsville, NY 14895 | 2011-12-09 |
| 1487809083 | Shannon M Mooney | Physician Assistant | 13 Loder St, Wellsville, NY 14895 | 2008-11-24 |
| 1215108253 | Altrasound Services Inc | Radiologic Technologist | 12 Martin St. 2nd Floor, Wellsville, NY 14895 | 2008-03-18 |
| 1083701882 | Kelly Lynn Tincher | Physical Therapist | 191 North Main St., Wellsville, NY 14895 | 2006-10-05 |
| 1295843043 | Joseph Thomas Felsen | Internal Medicine | 243 Maple Ave, Wellsville, NY 14895 | 2006-08-29 |
| Find all providers in zip 14895 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336255983 | Kenneth G Vandine | Ophthalmology | 12 Martin St, Wellsville, NY 14895-1057 | 2006-08-23 |
| 1306952981 | Kurt T Benham | Ophthalmology | 12 Martin St, Wellsville, NY 14895-1057 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607995 | Reginald Camillo Md Pllc | Ophthalmology | 7708 Broadway, Elmhurst, NY 11373-1927 | 2020-07-24 |
| 1366069510 | Rebecca Stein | Ophthalmology | 711 Stewart Ave Ste 160, Garden City, NY 11530-4700 | 2020-07-02 |
| 1548886260 | Bartow Ophthalmology Pllc | Ophthalmology | 2100 Bartow Ave Ste 208, Bronx, NY 10475-4614 | 2020-06-18 |
| 1407485139 | Amy L Kreisberg | Ophthalmology | 25 Byron Ln, Larchmont, NY 10538-1617 | 2020-04-04 |
| 1922634518 | Vision Vibrant Medicine Pllc | Ophthalmology | 837 59th St, Brooklyn, NY 11220-3611 | 2020-03-16 |
| 1710546270 | Ian Chan Md PC | Ophthalmology | 6410 8th Ave # 2a, Brooklyn, NY 11220-4720 | 2019-06-09 |
| 1598320038 | Mid-hudson Family Ophthalmology, Pllc | Ophthalmology | 75 Crystal Run Rd Ste 104a, Middletown, NY 10941-7003 | 2019-05-09 |
| 1144885070 | Nan Alison Sutter Hayworth | Ophthalmology | 214 Mclain St, Mount Kisco, NY 10549-4931 | 2019-05-06 |
| 1104383660 | Shani Golan | Ophthalmology | 325 E 64th St, New York, NY 10065-6709 | 2019-02-20 |
| 1205391224 | Gautam Kamthan Md PC | Ophthalmology | 250 E 39th St Apt 11g, New York, NY 10016-2178 | 2019-02-04 |
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| City | WELLSVILLE |
| Zip Code | 14895 |
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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.