Individual provider Active NPI

Judith Michele Van Antwerp, MD

  • Anesthesiology Physician
  • Cleveland, OH
National Provider Identifier
1245295708
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35085220 Issued in OH
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

Updated by the provider on Nov 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2546678MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161110000461 TX Practitioner - Anesthesiology 3476589003 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

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 Hospital, Irving, TX, CCN 450822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35085220OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Texas Anesthesia Consultants PLLC Anesthesiology CurrentSince Mar 1, 2025 Accepting new patients
Texas Anesthesia Team PLLC Anesthesiology CurrentSince Jan 1, 2025 Accepting new patients
Noble Anesthesia Partners, PLLC Anesthesiology CurrentSince Apr 10, 2025 Accepting new patients
Emergenchealth PLLC Anesthesiology CurrentSince Nov 29, 2024 Accepting new patients
Matt T. Gubert, PA Anesthesiology PastSince Mar 3, 2024 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.