Jonathan S. Vordermark, M.D.

Primary specialty

Pediatric Urology PhysicianTaxonomy code 2088P0231X

License

F6156 Issued in TX

Practice address

3502 9TH St
Suite 260
Lubbock, TX 79415-3300

Phone

(806) 743-1810

Fax

(806) 743-1335

NPI assigned

Oct 3, 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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: jonathan.vordermark@direct.myteamcare.com

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1184718843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5865",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794085865",
            "telephone_number": "806-743-2898",
            "fax_number": "806-743-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 9TH ST",
            "address_2": "SUITE 260",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794153300",
            "telephone_number": "806-743-1810",
            "fax_number": "806-743-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORDERMARK",
        "first_name": "JONATHAN",
        "middle_name": "S.",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "TX",
            "license": "F6156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "89C198",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "U5622",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO BLUE",
            "identifier": "87990Z",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christiane C Vogt-Harenkamp, M.D.
• Maria Roxanne Alvero Volante, FNP-C
• Gemma Volpato
• Kristen Voorhies
• Keyurkumar Vora, MD
• Jonathan Lee Vorndran, PT
• Vortex Health
• Vortex Health, PLLC
• Tasha Smith Voss, D.C.
• Laura Voth, COTA

• Pediatric Urology Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Pediatric Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.