Active NPI
James Ralph Vanderburg III, M. D.
- Obstetrics & Gynecology Physician
- Pittsburg, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- K9689
- Practice address
- 2701 US Highway 271 N
Pittsburg, TX 75686-4289 - Phone
- (903) 946-5442
- Fax
- (903) 946-5258
- NPI assigned
- Oct 27, 2006
- Last updated
- Apr 15, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | K9689 | TX | Primary |
Addresses
Primary practice location
2701 US Highway 271 N
Pittsburg, TX 75686-4289
Mailing address
2701 US Highway 271 N Ste 301
Pittsburg, TX 75686-4289
Phone (903) 465-4429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K9689 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Pittsburg Hospital, LLC | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Pittsburg Hospital LLC | Current | Accepting new patients | |
| Marshall Health Services Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| Starks Medical | Past | Accepting new patients |
Locations
2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246
340 Seven Springs Way
Ste 100
Brentwood, TN 37027
Phone (615) 296-3000
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292
4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511
2701 US Highway 271 N
Pittsburg, TX 75686
Phone (903) 946-5000
2701 US Highway 271 N
Ste 301
Pittsburg, TX 75686
1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068
Interoperability endpoints
- jvanderburg888929@ahs.direct-ci.com
Organizations & group practices 10
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.
-
- Cardiovascular Disease Physician
- Tyler, TX
- NPI 1609382662
-
- Internal Medicine Physician
- Pittsburg, TX
- NPI 1942700331
-
dba HarmonyCares Medical Group
- Family Medicine Physician
- Irving, TX
- NPI 1679510499
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
-
- Rural Health Clinic/Center
- Chandler, TX
- NPI 1235706581
-
- Family Medicine Physician
- Pittsburg, TX
- NPI 1437799434
-
- Clinical Social Worker
- San Antonio, TX
- NPI 1578175865
-
- Internal Medicine Physician
- Marshall, TX
- NPI 1265415905
Obstetrics & Gynecology
-
- Primary Care Nurse Practitioner
- Bullard, TX
- NPI 1306570593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586908800000",
"number": "1396821997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 US HIGHWAY 271 N STE 301",
"city": "PITTSBURG",
"state": "TX",
"postal_code": "756864289",
"telephone_number": "903-465-4429",
"fax_number": "903-946-5258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 US HIGHWAY 271 N",
"city": "PITTSBURG",
"state": "TX",
"postal_code": "756864289",
"telephone_number": "903-946-5442",
"fax_number": "903-946-5258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERBURG",
"first_name": "JAMES",
"middle_name": "RALPH",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "K9689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.