Jack Barnet Vonk, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

22471 Issued in NE

Practice address

24-2ND Ave SW
Aberdeen, SD 57401

Phone

(605) 725-2560

NPI assigned

Jan 13, 2006

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 Medicine

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 and National Provider Directory roles.

• Avera St. Luke'S

  • Diagnostic Radiology Physician
  • Aberdeen, SD
  • NPI 1437192721
  NPD (past)

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1083693303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512470072",
            "telephone_number": "920-683-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24-2ND AVE SW",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "57401",
            "telephone_number": "605-725-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONK",
        "first_name": "JACK",
        "middle_name": "BARNET",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "22471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey A Vilhauer, MS OTR/L
• Sarah Rae Viola, MA, OTR/L
• Vision Care Associates, LLP
• Casey Randall Voehl, D.C.
• Thomas F Vogel
• Vop Derian Place, LLC
• Jordan Voss-Severson, CNP
• Adam Jason Waage, PHARM.D
• Ryanne L Waage, PA-C
• David M Wachs, MD

• Diagnostic Radiology Physician in Aberdeen, SD
• Providers in Aberdeen, SD by specialty
• Diagnostic Radiology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.