Active NPI
Marinus Vanooyen, MD
- Diagnostic Radiology Physician
- Adrian, MI
National Provider Identifier
1518064112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301030300
- Practice address
- 3416 Birnwick Dr
Adrian, MI 49221 - Phone
- (517) 263-8975
- Fax
- (517) 264-5997
- NPI assigned
- Sep 19, 2006
- Last updated
- Nov 28, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 4301030300 | MI | Primary |
Addresses
Primary practice location
3416 Birnwick Dr
Adrian, MI 49221
Mailing address
2625 Lighthouse Bend Dr
Ponte Vedra Beach, FL 32082-3702
Phone (904) 285-2905
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4992126 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bixby Hospital | Past | Accepting new patients | |
| Mercy Hospital Grayling | Past | Accepting new patients | |
| Mercy Professional Services | Diagnostic Radiology | Past | Accepting new patients |
| Emma L. Bixby Medical Center | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Medical Laboratory
- Adrian, MI
- NPI 1407275696
-
- General Acute Care Hospital
- Adrian, MI
- NPI 1972564730
-
dba Mercy Health Cancer Center
- Hematology & Oncology Physician
- Grayling, MI
- NPI 1427489509
-
- Internal Medicine Physician
- Grayling, MI
- NPI 1912951468
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480291200000",
"number": "1518064112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 LIGHTHOUSE BEND DR",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320823702",
"telephone_number": "904-285-2905",
"fax_number": "904-285-2905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3416 BIRNWICK DR",
"city": "ADRIAN",
"state": "MI",
"postal_code": "49221",
"telephone_number": "517-263-8975",
"fax_number": "517-264-5997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANOOYEN",
"first_name": "MARINUS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-19",
"last_updated": "2016-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301030300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4992126",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.