Theodore A Vorenkamp, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

07000535A Issued in IN

Practice address

425 Huehl Rd
Unit 13
Northbrook, IL 60062-2319

Phone

(800) 654-3772

NPI assigned

Apr 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369526400000",
    "number": "1386609717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56282 KINGSMEN CT",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465457617",
            "telephone_number": "574-255-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HUEHL RD",
            "address_2": "UNIT 13",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622319",
            "telephone_number": "800-654-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORENKAMP",
        "first_name": "THEODORE",
        "middle_name": "A",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2013-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000535A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100409860A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100409860D",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/ BS, ANTHEM",
            "identifier": "000000089860",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005706081",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480014969",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kate Elizabeth Voss
• Megan E Vosters, PHD, BCBA-D
• Jeannine C Vradenburg, LCSW
• Jessica Wade
• Carly Walder, PSY.D.

• Podiatrist in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2013; 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.