Active NPI
Jonathan Vanderslik, M.D.
- Internal Medicine Physician
- North Muskegon, MI
National Provider Identifier
1477815850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301100779
- Practice address
- 1877 N Getty St
North Muskegon, MI 49445-8563 - Phone
- (231) 728-5052
- Fax
- (231) 728-5086
- NPI assigned
- Jun 12, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301100779 | MI | |
| Internal Medicine Physician | 207R00000X | 4301100779 | MI | Primary |
| Pediatrics Physician | 208000000X | 4301100779 | MI |
Addresses
Primary practice location
1877 N Getty St
North Muskegon, MI 49445-8563
Mailing address
PO Box 1848
Muskegon, MI 49443-1848
Phone (231) 727-4444
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150807013855 | MI | Practitioner - Internal Medicine | 4981835345 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Michigan State University College of Human Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Physician Network
Practice addresses (Care Compare)
2006 Holton Rd
Muskegon, MI 49445-1505
Phone (231) 672-3333
Hospital & facility affiliations
- Harbor Hospice
- Trinity Health Muskegon Hospital
- Mercy Health Lakeshore Campus
- Spectrum Health
- Mercy Health Saint Mary'S
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301100779 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Physician Network | Internal Medicine | Current | Accepting new patients |
| Mercy Physician Network | Student in an Organized Health Care Education/Training Program | Current | Accepting new patients |
Locations
2006 Holton Rd
North Muskegon, MI 49445
Phone (231) 672-3333
1877 N Getty St
North Muskegon, MI 49445
Phone (231) 728-5052
Interoperability endpoints
- https://api.platform.athenahealth.com/13864/brand/1/csg/1/fhir/r4
- jvanderslik26165@direct.trinity-health.org
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Fruitport, MI
- NPI 1639502701
Student in an Organized Health Care Education/Training Program
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Muskegon, MI
- NPI 1740283787
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460332800000",
"number": "1477815850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1848",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494431848",
"telephone_number": "231-727-4444",
"fax_number": "231-728-4789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1877 N GETTY ST",
"city": "NORTH MUSKEGON",
"state": "MI",
"postal_code": "494458563",
"telephone_number": "231-728-5052",
"fax_number": "231-728-5086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERSLIK",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-12",
"last_updated": "2016-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4301100779",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301100779",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301100779",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.