Dyrk A Vanvalkenburg, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

51770 Issued in OH

Practice address

20 Overbrook Dr
Unit C
Monroe, OH 45050-3101

Phone

(513) 539-7356

Fax

(513) 539-7782

NPI assigned

Aug 9, 2005

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

Other identifiers 1

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

Locations

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.

• Monroe Medical Center, Inc.

  • Family Medicine Physician
  • Monroe, OH
  • NPI 1215081351
  NPD Authorized official

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1104827625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD",
            "address_2": "BUILDING B 3RD FLOOR",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3188",
            "fax_number": "937-223-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 OVERBROOK DR",
            "address_2": "UNIT C",
            "city": "MONROE",
            "state": "OH",
            "postal_code": "450503101",
            "telephone_number": "513-539-7356",
            "fax_number": "513-539-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANVALKENBURG",
        "first_name": "DYRK",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "51770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0602735",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Total Therapy Solutions LLC
• Tram Ngoc Tran
• John Robert Tranovich, DDS
• Trupath Community Living LLC
• Jessica Elyse Uhler, MD
• Vinson Logistics LLC
• Jason Vinson, MSW, LSW
• Sarah Vinson
• Sarah Elizabeth Waits, APRN
• Alyssa Walter

• Family Medicine Physician in Monroe, OH
• Providers in Monroe, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.