Joan Vanderwerke, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0000813 Issued in MD

Practice address

7402 York Rd
Suite 100 Endoscopic Microsurgery Ass. PA
Towson, MD 21061

Phone

(410) 494-1846

Fax

(410) 828-1706

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19200/brand/1/csg/1/fhir/r4

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.

• Endoscopic Microsurgery Associates

  • Endoscopy Clinic/Center
  • Towson, MD
  • NPI 1811934573
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1487731048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11722 REISTERSTOWN RD",
            "address_2": "IMMEDIATE CARE",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211363302",
            "telephone_number": "410-833-5000",
            "fax_number": "410-833-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 YORK RD",
            "address_2": "SUITE 100 ENDOSCOPIC MICROSURGERY ASS. PA",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-494-1846",
            "fax_number": "410-828-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERWERKE",
        "first_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "001281-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0000813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Vandenberge, S.L.P.
• Marilynn S Vander Schaaf, PT
• Gail Dorothy Vanderbeek, MS, CCC-SLP
• Hailey Vanderslice
• Renee Sandra Vanderstelt, LGPAT, #ATG321
• Benjamin Dwight Vanlandingham, M.D.
• Bobby Vann Jr., LGPC
• Rachel Lee Vannatta, LGPC
• Theresa Vante
• Suma Varghese

• All providers in Towson, MD
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.