NPIMap

Organization Active NPI

Vernon R Van Vonderen, MD MPH PC

Doing business as Flight Physicals Unlimited

  • Occupational Medicine Clinic/Center
  • Elizabeth, CO
National Provider Identifier
1437404308
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
38059 Issued in CO
Legal business name
VERNON R VAN VONDEREN, MD MPH PC
Doing business as
Flight Physicals Unlimited
Practice address
34061 Forest Park Dr
Elizabeth, CO 80107-7842
Phone
(303) 646-4071
NPI assigned
Jul 17, 2012
Last updated
Jul 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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.NPI 1548516511
Title
President
Phone
(303) 646-7071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 38059 CO Primary

Addresses

Primary practice location

34061 Forest Park Dr
Elizabeth, CO 80107-7842

Mailing address

PO Box 397
Elizabeth, CO 80107-0397
Phone (303) 646-4071

Other names 1

  • Flight Physicals Unlimited Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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"
        }
    ]
}

Other providers in Elizabeth, CO

Sources for this page

  • 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.