Active NPI
Craig Andrew Vanderveer, MD
- Neurological Surgery Physician
- Charlotte, NC
National Provider Identifier
1184622060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 29879
- Practice address
- 225 Baldwin Ave
Charlotte, NC 28204-3109 - Phone
- (704) 376-1605
- Fax
- (704) 335-8448
- NPI assigned
- Jul 13, 2005
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 29879 | NC | Primary |
Addresses
Primary practice location
225 Baldwin Ave
Charlotte, NC 28204-3109
Mailing address
225 Baldwin Ave
Charlotte, NC 28204-3109
Phone (704) 376-1605
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N03177 | Medicaid | SC | |
| 8984681 | Medicaid | NC | |
| 990004915 | Other | RAILROAD MEDICARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 29879 | NC | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350950400000",
"number": "1184622060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 BALDWIN AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043109",
"telephone_number": "704-376-1605",
"fax_number": "704-335-8448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 BALDWIN AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043109",
"telephone_number": "704-376-1605",
"fax_number": "704-335-8448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERVEER",
"first_name": "CRAIG",
"middle_name": "ANDREW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2012-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NC",
"license": "29879",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N03177",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8984681",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "990004915",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
- Rhian Elizabeth Vanderburg, M.S., CCC-SLP
- Julie Vandergenugten, MS, BCBA
- Kelly Lynn Vanderhave, MD
- Lauren May Vanderlip, CRNA
- Margarette Megan Vanderploeg, PA
- Yenny Astrid-Angel Vanderwaerden, MD
- Mark Roger Vanderwel, MD
- Stacey Ann Vanderwel, RD, CSP, LDN
- Thomas Jackson Vandiver, MD
- Lesley Vandyck, MS CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.