Robert Vangieson

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

M735761 Issued in MI

Practice address

51135 Hanford Rd
Canton, MI 48187-4605

Phone

(734) 545-4106

NPI assigned

Apr 4, 2017

Last updated

Apr 4, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Silverwings Mobility Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Canton, MI
  • NPI 1508399726
  NPD (past) Authorized official

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1316470768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51135 HANFORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874605",
            "telephone_number": "734-545-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51135 HANFORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874605",
            "telephone_number": "734-545-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGIESON",
        "first_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MI",
            "license": "M735761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devon Van Rensburg, DPT
• Amy Van Schoick, LMSW
• Douglas Vandenberg
• Jay Michaela Vandyke
• Edward Anthony Vanesley, DDS
• Geoffrey Vangorder, PSY.S.
• Vanguard Rehab
• Jeffery Vanhook, DDS
• Ryan Robert Vannatter, BSW
• Tracey Lynne Venning, M.D.

• Non-emergency Medical Transport (VAN) in Canton, MI
• Providers in Canton, MI by specialty
• Non-emergency Medical Transport (VAN) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.