Active NPI
Eldon L Vance, DO
- General Practice Physician
- Findlay, OH
National Provider Identifier
1194777425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 34002039
- Practice address
- 3949 N Main St
Findlay, OH 45840-4200 - Phone
- (419) 423-3888
- Fax
- (419) 423-4475
- NPI assigned
- May 16, 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 34002039 | OH | Primary |
Addresses
Primary practice location
3949 N Main St
Findlay, OH 45840-4200
Mailing address
3949 N Main St
Findlay, OH 45840-4200
Phone (419) 423-3888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2341184 | Medicaid | OH |
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 Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34002039 | OH | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Family Medicine, P.C. | Past | Accepting new patients | |
| Sturgis Emergency Physicians PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Flint, MI
- NPI 1356549679
-
- Emergency Medicine Physician
- Sturgis, MI
- NPI 1629349238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1194777425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3949 N MAIN ST",
"city": "FINDLAY",
"state": "OH",
"postal_code": "458404200",
"telephone_number": "419-423-3888",
"fax_number": "419-423-4475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3949 N MAIN ST",
"city": "FINDLAY",
"state": "OH",
"postal_code": "458404200",
"telephone_number": "419-423-3888",
"fax_number": "419-423-4475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANCE",
"first_name": "ELDON",
"middle_name": "L",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "34002039",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2341184",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Findlay, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.