Active NPI
Jeffrey Bryan Vandeusen, M.D., PH.D.
- Medical Oncology Physician
- Galion, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 35098460
- Practice address
- 269 Portland Way S
Galion, OH 44833-2312 - Phone
- (419) 462-3470
- Fax
- (419) 468-5184
- NPI assigned
- May 2, 2008
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 134714 | NC | |
| Hematology & Oncology Physician | 207RH0003X | 098460 | OH | |
| Medical Oncology Physician | 207RX0202X | 35098460 | OH | Primary |
Addresses
Primary practice location
269 Portland Way S
Galion, OH 44833-2312
Mailing address
700 N Columbus St
Crestline, OH 44827-1455
Phone (419) 462-3485
Other practice location 1
629 N Sandusky Ave
Bucyrus, OH 44820-1821
Phone (419) 462-3470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0067884 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Ohio State University College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
269 Portland Way S
Galion, OH 44833-2312
Phone (419) 468-4841
2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505
600 Richland Mall
Ontario, OH 44906-1246
Phone (419) 468-0505
629 N Sandusky Ave
Bucyrus, OH 44820-1821
Phone (419) 562-4677
715 Richland Mall
Ontario, OH 44906-3802
Phone (567) 307-7557
Hospital & facility affiliations
- Avita Home Health and Hospice
- Avita Ontario
- Galion Community Hospital
- Bucyrus Community Hospital
- Mount Carmel St Ann'S
- Ohio State University State Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134714 | NC | MD | Hematology & Oncology Physician |
| 098460 | OH | MD | Hematology & Oncology Physician |
| 35098460 | OH | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Interoperability endpoints
- jvandeusen478743@direct.osumc.edu
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.
-
- Specialist
- Galion, OH
- NPI 1689822827
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ontario, OH
- NPI 1790131050
-
- Critical Access Hospital
- Bucyrus, OH
- NPI 1104914274
-
- Home Health Agency
- Galion, OH
- NPI 1649385865
-
- Critical Access Hospital
- Galion, OH
- NPI 1215907522
-
- General Acute Care Hospital
- Westerville, OH
- NPI 1417037045
-
- Rehabilitation Hospital Unit
- Columbus, OH
- NPI 1184723637
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1447359997
-
- Psychiatric Hospital Unit
- Columbus, OH
- NPI 1790876183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1487820189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 N COLUMBUS ST",
"city": "CRESTLINE",
"state": "OH",
"postal_code": "448271455",
"telephone_number": "419-462-3485",
"fax_number": "419-468-5184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 PORTLAND WAY S",
"city": "GALION",
"state": "OH",
"postal_code": "448332312",
"telephone_number": "419-462-3470",
"fax_number": "419-468-5184"
}
],
"practiceLocations": [
{
"address_1": "629 N Sandusky Ave",
"address_purpose": "LOCATION",
"city": "Bucyrus",
"state": "OH",
"postal_code": "448201821",
"country_code": "US",
"telephone_number": "419-462-3470",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANDEUSEN",
"first_name": "JEFFREY",
"middle_name": "BRYAN",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-02",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NC",
"license": "134714",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OH",
"license": "098460",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "OH",
"license": "35098460",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0067884",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Galion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.