Carl John Vanderputten, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

80946 Issued in MA

Practice address

100 South St
Harrington Memorial Hospital
Southbridge, MA 01550-8002

Phone

(508) 765-9771

Fax

(508) 765-3147

NPI assigned

Jul 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health for All, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1700896404
  NPD (past)
• Medexpress, Inc - Delaware

  dba MedExpress - Wilmington Concord Pike

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1255692182
  NPD (past)
• Medexpress, Inc - Delaware

  dba MedExpress - Dover

  • Family Medicine Physician
  • Dover, DE
  • NPI 1265770135
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013923101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 SHAKER RD",
            "address_2": "STE 8",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040399640",
            "telephone_number": "207-657-5339",
            "fax_number": "207-657-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTH ST",
            "address_2": "HARRINGTON MEMORIAL HOSPITAL",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015508002",
            "telephone_number": "508-765-9771",
            "fax_number": "508-765-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERPUTTEN",
        "first_name": "CARL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "80946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Umass Memorial MRI & Imaging Center, LLC
• Craig J Ungerman
• Unity Homecare LLC
• Veronica Joan Vaida, NP
• Emily Valante
• Jorge A Vargas, MS,PSYCH.FTH
• Carmen S Vazquez
• Joseph Alfred Veneziano, MD
• Catherine Sarah Verostick
• Allison Christine Visbeek, PHARMD

• Emergency Medicine Physician in Southbridge, MA
• Providers in Southbridge, MA by specialty
• Emergency Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.