Vernon R Van Vonderen, MD MPH PC

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

License

38059 Issued in CO

Legal business name

VERNON R VAN VONDEREN, MD MPH PC

Practice address

34061 Forest Park Dr
Elizabeth, CO 80107-7842

Phone

(303) 646-4071

NPI assigned

Jul 17, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Vernon Roy Van Vonderen, M.D.

Title

President

Phone

(303) 646-7071

Specialties & licenses 1

Addresses

Other names 1

• Flight Physicals Unlimited Doing business as

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1437404308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "ELIZABETH",
            "state": "CO",
            "postal_code": "801070397",
            "telephone_number": "303-646-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34061 FOREST PARK DR",
            "city": "ELIZABETH",
            "state": "CO",
            "postal_code": "801077842",
            "telephone_number": "303-646-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON R VAN VONDEREN, MD MPH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "VAN VONDEREN",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-646-7071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "CO",
            "license": "38059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flight Physicals Unlimited",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Theobald
• Transformations Counseling LLC
• Sandra Michaela Uhl
• Vernon Roy Vanvonderen, MD, MS, MPH
• Meagan Velgersdyk
• Gisela Hannelore Walker, NP
• Walmart Inc.
• Kori Walsh
• Clark B Zimmerman IV, MD

• Occupational Medicine Clinic/Center in Elizabeth, CO
• Providers in Elizabeth, CO by specialty
• Occupational Medicine Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.