William Vandivier, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3666 Issued in IA

Practice address

2605 SW White Birch Drive
Ankeny, IA 50023-7145

Phone

(515) 964-7965

Fax

(515) 964-8937

NPI assigned

Jan 11, 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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Appleton Area Health

  • Critical Access Hospital
  • Appleton, MN
  • NPI 1578590626
  Medicare reassignment NPD
• Appleton Area Health

  • Rural Health Clinic/Center
  • Appleton, MN
  • NPI 1730126673
  Medicare reassignment NPD

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1619956398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-964-7965",
            "fax_number": "515-964-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 SW WHITE BIRCH DRIVE",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237145",
            "telephone_number": "515-964-7965",
            "fax_number": "515-964-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDIVIER",
        "first_name": "WILLIAM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "3666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Vande Zande, DO
• Timothy Vander Wilt, MSPT
• McKayla Marie Vanderpool
• Amber Vanderveer
• Hayli Reed Vandewalker
• Michael Seth Vargo, PHARMD.
• Vaxitaxicom, P.L.C.
• Deidra A Veach, ARNP
• Briana Vera, M.A., CCC-SLP
• Alyssa Vibbard, LISW

• Family Medicine Physician in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.