Individual provider Active NPI

James Ralph Vanderburg III, M. D.

  • Obstetrics & Gynecology Physician
  • Pittsburg, TX
National Provider Identifier
1396821997
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K9689 Issued in TX
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070209000237 TX Practitioner - Obstetrics/Gynecology 5799780607 Reassigns benefits to 4 organizations
I20230803003464 AZ Practitioner - Obstetrics/Gynecology 5799780607 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K9689TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Etmc Physician Group Inc. CurrentSince Mar 3, 2018 Accepting new patients
Pittsburg Hospital, LLC CurrentSince Mar 1, 2018 Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 26, 2024 Accepting new patients
Etmc Physician Group Inc. CurrentSince Mar 3, 2018 Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 26, 2024 Accepting new patients
Signify Health, LLC CurrentSince Nov 1, 2023 Accepting new patients
Pittsburg Hospital LLC CurrentSince Mar 1, 2018 Accepting new patients
Marshall Health Services Inc Obstetrics & Gynecology PastSince Sep 1, 2009 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.