Active NPI
Van Dusen Medical Services
- Obstetrics & Gynecology Physician
- Astoria, OR
National Provider Identifier
1376177808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- VAN DUSEN MEDICAL SERVICES
- Practice address
- 2200 Exchange St
Astoria, OR 97103-3332 - Phone
- (503) 741-1199
- NPI assigned
- Feb 24, 2020
- Last updated
- Feb 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fatima Van Dusen, MD
- Title
- Owner
- Phone
- (503) 741-1199
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | NU | Primary |
Addresses
Primary practice location
2200 Exchange St
Astoria, OR 97103-3332
Mailing address
4 Auburn Ave
Astoria, OR 97103-5606
Phone (503) 741-1199
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Astoria, OR
- NPI 1588890164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582502400000",
"number": "1376177808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 AUBURN AVE",
"city": "ASTORIA",
"state": "OR",
"postal_code": "971035606",
"telephone_number": "503-741-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 EXCHANGE ST",
"city": "ASTORIA",
"state": "OR",
"postal_code": "971033332",
"telephone_number": "503-741-1199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAN DUSEN MEDICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-24",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A",
"authorized_official_last_name": "VAN DUSEN",
"authorized_official_first_name": "FATIMA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-741-1199",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.