Active NPI
Judith Michele Van Antwerp, MD
- Anesthesiology Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 35085220
- Practice address
- 11100 Eucllid Avenue
Cleveland, OH 44106 - Phone
- (216) 844-7340
- Fax
- (216) 844-3781
- NPI assigned
- Apr 19, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35085220 | OH | Primary |
Addresses
Primary practice location
11100 Eucllid Avenue
Cleveland, OH 44106
Mailing address
11100 Euclid Avenue
Cleveland, OH 44106
Phone (800) 223-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2546678 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6800 N Macarthur Blvd
Medical City Las Colinas
Irving, TX 75039-2422
Phone (972) 969-2559
Hospital & facility affiliations
- Medical City Las Colinas
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35085220 | OH | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Texas Anesthesia Consultants PLLC | Anesthesiology | Current | Accepting new patients |
| Texas Anesthesia Team PLLC | Anesthesiology | Current | Accepting new patients |
| Noble Anesthesia Partners, PLLC | Anesthesiology | Current | Accepting new patients |
| Emergenchealth PLLC | Anesthesiology | Current | Accepting new patients |
| Matt T. Gubert, PA | Anesthesiology | Past | Accepting new patients |
| DFW Childrens Surgery Center LLC | Past | Accepting new patients |
Locations
411 Central Park Dr
Arlington, TX 76014
Phone (817) 784-8300
14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006
3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002
5744 Lyndon B Johnson Fwy
Ste 200
Dallas, TX 75240
Phone (214) 273-2648
9101 N Central Expy
Ste 550
Dallas, TX 75231
Phone (214) 442-0055
7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283
1620 N Mesa St
El Paso, TX 79902
Phone (210) 660-5040
7200 Oakmont Blvd
Fort Worth, TX 76132
Phone (817) 732-3300
6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818
1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600
3055 Bardin Rd
Ste 400
Grand Prairie, TX 75052
Phone (214) 412-1500
2305 E Grapevine Mills Cir
Grapevine, TX 76051
Phone (682) 222-8482
8330 Sterling St
Irving, TX 75063
6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000
4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302
400 Chisholm Pl
Ste 114
Plano, TX 75075
Phone (972) 588-4541
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
115 N Loop 1604 E
Ste 1204
San Antonio, TX 78232
Phone (210) 446-0418
9709 Lakeside Blvd
Ste 350
Spring, TX 77381
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
-
- Anesthesiology Physician
- Plano, TX
- NPI 1588201073
-
- Anesthesiology Physician
- Irving, TX
- NPI 1619259553
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1467037937
-
- Ambulatory Surgical Clinic/Center
- Dallas, TX
- NPI 1366809055
-
- Anesthesiology Physician
- Plano, TX
- NPI 1336184845
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Irving, TX
- NPI 1902857766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320796800000",
"number": "1245295708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11100 EUCLID AVENUE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44106",
"telephone_number": "800-223-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 EUCLLID AVENUE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44106",
"telephone_number": "216-844-7340",
"fax_number": "216-844-3781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN ANTWERP",
"first_name": "JUDITH",
"middle_name": "MICHELE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2011-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35085220",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2546678",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.