Individual provider Active NPI

John E Vance, D.O.

  • Surgery Physician
  • Grand Blanc, MI
National Provider Identifier
1427074772
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101012733 Issued in MI
Practice address
8235 N Holly Rd
Suite 1
Grand Blanc, MI 48439-2441
Phone
(810) 694-9700
Fax
(810) 694-9940
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101012733 MI Primary

Addresses

Primary practice location

8235 N Holly Rd
Suite 1
Grand Blanc, MI 48439-2441

Mailing address

8235 N Holly Rd
Suite 1
Grand Blanc, MI 48439-2441
Phone (810) 694-9700

Other identifiers 13

IdentifierTypeStateIssuer
0987785OtherMIGENESEE HEALTH PLAN
0989830003OtherMIBLUE CROSS MEDICARE ADVAN
5250193OtherMIBLUE CROSS
5250193OtherMIBLUE CARE NETWORK
114190217MedicaidMI
7292237OtherMIAETNA
C7107OtherMIMCARE
1006245OtherMIMCLAREN HEALTH PLAN
127401OtherMIPREFERRED CHOICE
382626202OtherMICARE CHOICES
020046189OtherMIPALMETTO GBA - RR MEDICAR
H13883OtherMIHAP
0987785OtherMIHEALTH PLUS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050511000289 MI Practitioner - General Surgery 8729061700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Michigan State University College of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesys Practice Partners IncGroup PAC ID 3476456492, 37 clinicians

Practice addresses (Care Compare)

1 Genesys Pkwy
Suite 3452
Grand Blanc, MI 48439-8065
Phone (810) 606-7550

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)13
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Genesys Hospital CurrentSince Apr 23, 2012 Accepting new patients
Genesys Practice Partners Inc Current Accepting new patients
Ascension Genesys Hospital CurrentSince Apr 23, 2012 Accepting new patients
Surgical Associates, PLC Surgery CurrentSince Jun 10, 2004 Accepting new patients
Henry Ford Health Genesys Hospital Current Accepting new patients
Genesys Practice Partners, Inc CurrentSince Jul 24, 2024 Accepting new patients
Genesys Practice Partners Inc CurrentSince Jul 24, 2024 Accepting new patients
Henry Ford Health Genesys Hospital Past Accepting new patients

Locations

1460 N Center Rd
Burton, MI 48509
Phone (810) 424-2011

G3169 Beecher Rd
Ste 102
Flint, MI 48532
Phone (810) 422-9235

420 S Saginaw St
Flint, MI 48502
Phone (810) 232-3522

G3169 Beecher Rd
Flint, MI 48532
Phone (810) 213-1803

3021 S Dort Hwy
Flint, MI 48507
Phone (810) 844-9160

5445 Ali Dr
Grand Blanc, MI 48439
Phone (810) 428-1181

8235 Holly Rd
Ste 1
Grand Blanc, MI 48439
Phone (810) 694-9110

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

600 Health Park Blvd
Ste A
Grand Blanc, MI 48439
Phone (810) 230-9600

3399 Pollock Rd
Ste A
Grand Blanc, MI 48439
Phone (810) 606-7550

1 Genesys Pkwy
Ste 3452
Grand Blanc, MI 48439
Phone (248) 849-2600

Interoperability endpoints

  • Direct secure messaging: jvance1156326@direct.hfhs.org
  • Direct secure messaging: johnvance@pmi.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241136000000",
    "number": "1427074772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 N HOLLY RD",
            "address_2": "SUITE 1",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392441",
            "telephone_number": "810-694-9700",
            "fax_number": "810-694-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 N HOLLY RD",
            "address_2": "SUITE 1",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392441",
            "telephone_number": "810-694-9700",
            "fax_number": "810-694-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "JOHN",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101012733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENESEE HEALTH PLAN",
            "identifier": "0987785",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MEDICARE ADVAN",
            "identifier": "0989830003",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5250193",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "5250193",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114190217",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7292237",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C7107",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1006245",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CHOICE",
            "identifier": "127401",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "382626202",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA - RR MEDICAR",
            "identifier": "020046189",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "H13883",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "0987785",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.