NPIMap

Organization Active NPI

Harvey G Van Dell, MD, PA, PLLC

Doing business as Guy Van Dell, MD, PA ; Flower Mound Women's Care

  • Obstetrics Physician
  • Flower Mound, TX
National Provider Identifier
1043497258
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
K8697 Issued in TX
Legal business name
HARVEY G VAN DELL, MD, PA, PLLC
Doing business as
Guy Van Dell, MD, PA ; Flower Mound Women's Care
Practice address
2980 Long Prairie Rd
Suite E
Flower Mound, TX 75022-4845
Phone
(972) 899-9787
Fax
(972) 899-9786
NPI assigned
Jan 30, 2008
Last updated
Apr 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Dr. Harvey Guyton Van Dell IV, M.D.NPI 1417952060
Title
Physician/Owner
Phone
(972) 899-9787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X K8697 TX Primary
Advanced Practice MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 367A00000X 536369 TX

Addresses

Primary practice location

2980 Long Prairie Rd
Suite E
Flower Mound, TX 75022-4845

Mailing address

2980 Long Prairie Rd
Suite E
Flower Mound, TX 75022-4845
Phone (972) 899-9787

Other names 1

  • Guy Van Dell, MD, PA ; Flower Mound Women's Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060117000980 TX Part B Supplier - Clinic/Group Practice 0840214821 Receives reassigned benefits from 3 practitioners
Practice locations: Flower Mound, TX

National Provider Directory

National Provider Directory

Locations

400 Parker Sq
#S245
Flower Mound, TX 75028
Phone (972) 899-9787

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1043497258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 LONG PRAIRIE RD",
            "address_2": "SUITE E",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224845",
            "telephone_number": "972-899-9787",
            "fax_number": "972-899-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 LONG PRAIRIE RD",
            "address_2": "SUITE E",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224845",
            "telephone_number": "972-899-9787",
            "fax_number": "972-899-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEY G VAN DELL, MD, PA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "VAN DELL",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "GUYTON",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "972-899-9787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "K8697",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "536369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guy Van Dell, MD, PA ; Flower Mound Women's Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.