Active NPI
James Jacob Vanoverbeke, PARAMEDIC
- Paramedic
- Pontiac, MI
National Provider Identifier
1649743923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- 3201016042
- Practice address
- 1200 E Telegraph Rd.
Pontiac, MI 48341 - Phone
- (800) 231-1127
- NPI assigned
- Jan 9, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Paramedic | 146L00000X | 3201016042 | MI | Primary |
Addresses
Primary practice location
1200 E Telegraph Rd.
Pontiac, MI 48341
Mailing address
338 E Saint Clair St
Almont, MI 48003-1048
Phone (248) 534-8967
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3201016042 | MI | MD | Paramedic |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546992000000",
"number": "1649743923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 E SAINT CLAIR ST",
"city": "ALMONT",
"state": "MI",
"postal_code": "480031048",
"telephone_number": "248-534-8967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E TELEGRAPH RD.",
"city": "PONTIAC",
"state": "MI",
"postal_code": "48341",
"telephone_number": "800-231-1127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANOVERBEKE",
"first_name": "JAMES",
"middle_name": "JACOB",
"name_prefix": "Mr.",
"credential": "PARAMEDIC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-09",
"last_updated": "2019-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "MI",
"license": "3201016042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.