Individual provider Active NPI

Arthur Vandyke, M.D.

  • Cardiovascular Disease Physician
  • Mentor, OH
National Provider Identifier
1346234036
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35041502 Issued in OH
Practice address
7200 Mentor Ave
Mentor, OH 44060-7522
Phone
(440) 942-5400
Fax
(440) 942-9055
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 35041502 OH
Cardiovascular Disease Physician 207RC0000X 35041502 OH Primary

Addresses

Primary practice location

7200 Mentor Ave
Mentor, OH 44060-7522

Mailing address

7200 Mentor Ave
Mentor, OH 44060-7522
Phone (440) 942-5400

Other identifiers 1

IdentifierTypeStateIssuer
0436826MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040318001556 OH Practitioner - Cardiovascular Disease (Cardiology) 1456249465 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35041502OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Consultants of Cleveland Inc Cardiovascular Disease CurrentSince Feb 1, 2004 Accepting new patients

Locations

18901 Lake Shore Blvd
Euclid, OH 44119
Phone (216) 531-9000

26250 Euclid Ave
Ste 307
Euclid, OH 44132
Phone (216) 732-7000

29001 Cedar Rd
Ste 327
Lyndhurst, OH 44124
Phone (440) 446-0291

6770 Mayfield Rd
Ste 322
Mayfield Heights, OH 44124
Phone (440) 449-1710

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

7200 Mentor Ave
Mentor, OH 44060
Phone (440) 946-8809

36100 Euclid Ave
Ste 300
Willoughby, OH 44094
Phone (440) 942-4844

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71745

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1346234036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440607522",
            "telephone_number": "440-942-5400",
            "fax_number": "440-942-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440607522",
            "telephone_number": "440-942-5400",
            "fax_number": "440-942-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDYKE",
        "first_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "35041502",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35041502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0436826",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.