Active NPI
Ronald Vandyke, CRNA
- Certified Registered Nurse Anesthetist
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704216267
- Practice address
- 900 Peeler St
Kalamazoo, MI 49008-2380 - Phone
- (269) 345-8618
- Fax
- (269) 345-1508
- NPI assigned
- Feb 23, 2006
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704216267 | MI | Primary |
Addresses
Primary practice location
900 Peeler St
Kalamazoo, MI 49008-2380
Mailing address
900 Peeler St
Kalamazoo, MI 49008-2380
Phone (269) 345-8618
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4843073 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
31 N Saint Joseph Ave
Niles, MI 49120-2207
Phone (269) 683-5510
3200 W Centre Ave
Suite 101
Portage, MI 49024-4889
Phone (269) 323-9950
3600 Capital Ave SW
Suite 101
Battle Creek, MI 49015-9393
Phone (269) 979-2490
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704216267 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| McLaren Central Michigan | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Apollo Medical Group of Michigan PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Covenant Medical Center, Inc | Current | Accepting new patients | |
| Covenant Medical Center, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| McLaren Hospital Group | Current | Accepting new patients | |
| Rest Assured Anesthesia Management, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lakeland Hospitals at Niles and St Joseph, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients |
Locations
3600 Capital Ave SW
Ste 101
Battle Creek, MI 49015
Phone (269) 979-2490
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700
31 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 428-2417
3200 W Centre Ave
Ste 101
Portage, MI 49024
Phone (269) 323-9905
1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220
700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
Organizations & group practices 12
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.
-
- Anesthesiology Physician
- Portage, MI
- NPI 1699582593
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
- Certified Registered Nurse Anesthetist
- Fremont, IN
- NPI 1063284891
MI, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Saginaw, MI
- NPI 1225151897
Nurse Anesthetist, Certified Registered
-
- Emergency Medicine Physician
- Flint, MI
- NPI 1942026174
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1619412376
-
- Community Health Clinic/Center
- Saint Joseph, MI
- NPI 1184513731
-
- Anesthesiology Physician
- Saint Joseph, MI
- NPI 1598305641
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Mt Pleasant, MI
- NPI 1093742306
-
- Certified Registered Nurse Anesthetist
- Mt Pleasant, MI
- NPI 1154357028
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Mount Pleasant, MI
- NPI 1710235775
-
- Rural Health Clinic/Center
- Gladwin, MI
- NPI 1841812989
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1528034287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 PEELER ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490082380",
"telephone_number": "269-345-8618",
"fax_number": "269-345-1508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 PEELER ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490082380",
"telephone_number": "269-345-8618",
"fax_number": "269-345-1508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDYKE",
"first_name": "RONALD",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704216267",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4843073",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.