Active NPI
James D. Vandermeer, MD
- Family Medicine Physician
- Redmond, WA
National Provider Identifier
1154412997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00030881
- Practice address
- 3925 159TH Ave NE
Microsoft Living Well Health Center, BLDG 21
Redmond, WA 98052-6309 - Phone
- (425) 216-0550
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00030881 | WA | Primary |
Addresses
Primary practice location
3925 159TH Ave NE
Microsoft Living Well Health Center, BLDG 21
Redmond, WA 98052-6309
Mailing address
3925 159TH Ave NE
Microsoft Living Well Health Center, BLDG 21
Redmond, WA 98052-6309
Phone (425) 216-0550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8149965 | Medicaid | WA |
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
Interoperability endpoints
- james.vandermeer@49412312072196.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491523200000",
"number": "1154412997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3925 159TH AVE NE",
"address_2": "MICROSOFT LIVING WELL HEALTH CENTER, BLDG 21",
"city": "REDMOND",
"state": "WA",
"postal_code": "980526309",
"telephone_number": "425-216-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 159TH AVE NE",
"address_2": "MICROSOFT LIVING WELL HEALTH CENTER, BLDG 21",
"city": "REDMOND",
"state": "WA",
"postal_code": "980526309",
"telephone_number": "425-216-0550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERMEER",
"first_name": "JAMES",
"middle_name": "D.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2017-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00030881",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8149965",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.