James Ralph Vanderburg III, M. D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Pittsburg, TX
NPI 1396821997 · NPPES record last updated Apr 15, 2020
Key facts
- NPI
- 1396821997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- K9689 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pittsburg Hospital, LLC | Current |
Accepting new patients | |
| Signify Health, LLC | Current |
Accepting new patients | |
| Etmc Physician Group Inc. | 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 | |
| Pittsburg Hospital LLC | Current |
Accepting new patients | |
| Starks Medical | Past | Accepting new patients | |
| Marshall Health Services Inc | Obstetrics & Gynecology | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | K9689 | TX | Yes |
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
Other providers in Pittsburg, TX
- Thrivewell Behavioral Health LLC
- Virginia R. Thurman
- Titus County Hospital District
- Maxwell Tran
- Tri Core Blasting
- Vital Visions Home Health Agency LLC
- Samuel Allan Waddell
- Kyla Rashelle Wells
- Evan R Willian
- Melody Wingate
All providers in Pittsburg, TX · Obstetrics & Gynecology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.