Organization Active NPI

Vandyke MD OB/GYN PA

  • Gynecology Physician
  • Orlando, FL
National Provider Identifier
1194223800
Registry record updated Jan 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
VANDYKE MD OB/GYN PA
Practice address
9161 Narcoossee Rd Ste B209
Orlando, FL 32827-5764
Phone
(407) 316-0156
Fax
(407) 316-9997
NPI assigned
Jan 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2018

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

Authorized official

Name
Mrs. Tracey Ariza
Title
Administrator
Phone
(407) 316-0156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

9161 Narcoossee Rd Ste B209
Orlando, FL 32827-5764

Mailing address

9161 Narcoossee Rd Ste B209
Orlando, FL 32827-5764
Phone (407) 316-0156

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1517097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517097600000",
    "number": "1194223800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9161 NARCOOSSEE RD STE B209",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328275764",
            "telephone_number": "407-316-0156",
            "fax_number": "407-316-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9161 NARCOOSSEE RD STE B209",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328275764",
            "telephone_number": "407-316-0156",
            "fax_number": "407-316-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDYKE MD OB/GYN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-28",
        "last_updated": "2018-01-28",
        "status": "A",
        "authorized_official_last_name": "ARIZA",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-316-0156",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2018; 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.