Jenifer Geiss Vandehatert, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

OH002813 Issued in OH

Practice address

3200 Vine St
Cincinnati, OH 45220-2213

Phone

(513) 861-3100

Fax

(513) 475-6470

NPI assigned

Feb 27, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Orthopaedic Consultants of Cincinnati, Inc.

  • Orthopaedic Surgery Physician
  • Cincinnati, OH
  • NPI 1396792529
  NPD (past)

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247011200000",
    "number": "1477722056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 KLEEMAN RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111932",
            "telephone_number": "513-260-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202213",
            "telephone_number": "513-861-3100",
            "fax_number": "513-475-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEHATERT",
        "first_name": "JENIFER",
        "middle_name": "GEISS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2009-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "OH002813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000610048",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC",
            "identifier": "0225920002",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "VAPA32961",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dametra Vance
• David James Vance, MD
• Lachelle Vance, MD
• Marissa L Vance
• William Vance, PT, DPT
• Shawnda R. Vandehatert, P.T.
• Cynthia Vandeilen, OTR/L
• Mary Vanden Bosch, OT
• Katherine Anne Vandenheuvel, MD
• Christine Vanderbent

• Surgical Physician Assistant in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Surgical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.