Richard G Vandellen, MD

Primary specialty

Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X

License

16759 Issued in MN

Practice address

600 4TH St SW Apt 306
Rochester, MN 55902-3245

Phone

(507) 282-4565

NPI assigned

Sep 12, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1518116797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 4TH ST SW APT 306",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559023245",
            "telephone_number": "507-282-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDELLEN",
        "first_name": "RICHARD",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "MN",
            "license": "16759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo Trunta Van Winter, M.D.
• Martin Van Zyl, MB BCH BAO
• Wendaline Marie Vanburen, MD
• Dorothy J Vanbuskirk, NP
• Jennifer L Vande Voort, MD
• Sara Vandemark, D.D.S.
• Justin M Vandenberg, PT
• Lyndsey L Vandenberg, PT
• Robert Vander Broek, D.D.S.
• Molly Ann Vanderboom, M.ED., ATC, LAT, OPE

• Allergy & Immunology (Internal Medicine) Physician in Rochester, MN
• Providers in Rochester, MN by specialty
• Allergy & Immunology (Internal Medicine) Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.