Loren Millard Vandeusen, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

51677 Issued in OH

Practice address

3636 Broadway
Grove City, OH 43123-2202

Phone

(614) 871-3234

Fax

(614) 871-1494

NPI assigned

Sep 14, 2006

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609971589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 BROADWAY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232202",
            "telephone_number": "614-871-3234",
            "fax_number": "614-871-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 BROADWAY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232202",
            "telephone_number": "614-871-3234",
            "fax_number": "614-871-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEUSEN",
        "first_name": "LOREN",
        "middle_name": "MILLARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "OH",
            "license": "51677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Van Sickle, RN
• Nathaniel Vance, DO
• Erika Vander Werf, CNP
• Bruce T Vanderhoff, MD
• Tara Vanderwerf-Meyerink, DCN, CNS, FDNP
• Divina Varghese
• Preetha Varughese, B PHARM
• Veloce Transportation LLC
• Rajagopalan Venkataraman, M.D.
• Rishi R Verma, MD

• Adult Medicine Physician in Grove City, OH
• Providers in Grove City, OH by specialty
• Adult Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.