Individual provider Active NPI

Anton Van Duuren, MD

  • Obstetrics & Gynecology Physician
  • Sylva, NC
National Provider Identifier
1154313112
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
9900372 Issued in NC
Practice address
70 The Village Overlook
Sylva, NC 28779-2742
Phone
(828) 631-1960
Fax
(828) 586-3489
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 9900372 NC Primary

Addresses

Primary practice location

70 The Village Overlook
Sylva, NC 28779-2742

Mailing address

70 The Village Overlook
Sylva, NC 28779-2742
Phone (828) 631-1960

Other identifiers 3

IdentifierTypeStateIssuer
12221OtherNCBC/BS
1163386OtherNCCIGNA
8912221MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9900372NCMDObstetrics & Gynecology Physician
00372NCMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1154313112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 THE VILLAGE OVERLOOK",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287792742",
            "telephone_number": "828-631-1960",
            "fax_number": "828-586-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 THE VILLAGE OVERLOOK",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287792742",
            "telephone_number": "828-631-1960",
            "fax_number": "828-586-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DUUREN",
        "first_name": "ANTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "9900372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "12221",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1163386",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912221",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.