Vicente D Cabansag Jr MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301080148 Issued in MI

Legal business name

VICENTE D CABANSAG JR MD PC

Practice address

68930 Vinewood Ave
Sturgis, MI 49091-8899

Phone

(269) 651-9302

Fax

(269) 651-4809

NPI assigned

Feb 21, 2007

Last updated

Jan 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vicente D Cabansag Jr., M.D.

Title

President

Phone

(269) 651-9302

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

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.

• Sharon Cabansag, MD

  • Family Medicine Physician
  • Kentwood, MI
  • NPI 1871648576
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1457496952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68930 VINEWOOD AVE",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490918899",
            "telephone_number": "269-651-9302",
            "fax_number": "269-651-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68930 VINEWOOD AVE",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490918899",
            "telephone_number": "269-651-9302",
            "fax_number": "269-651-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICENTE D CABANSAG JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "CABANSAG",
        "authorized_official_first_name": "VICENTE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-651-9302",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301080148",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "033706",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "033706",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1074410 TYPE 10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBA",
            "identifier": "0131026",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "020750206",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trevor Neal DPM
• Traci J Van Gorden, CFNP
• Ashley Vanaman
• Kathleen Lynn Vandenbos, PHARMACY TECHNICIAN
• Ashish Verma, M.D.
• Alyssa Vowels
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1771)
• Wal-Mart Stores East, LP (Vision Center 30-1771)
• Walgreen Co (Walgreens #09146)
• Tom Michael Walworth, D.C.

• Family Medicine Physician in Sturgis, MI
• Providers in Sturgis, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.