Huibert Michiel Vriesendorp, M.D., PH. D.

Primary specialty

Therapeutic Radiology PhysicianTaxonomy code 2085R0203X

License

223451-1 Issued in NY

Practice address

100 Strathmore Dr
Syracuse, NY 13207-1650

Phone

(131) 529-9698

NPI assigned

Apr 2, 2007

Sex

Male

Sole proprietor

Yes

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, Doctor of Philosophy

State licenses

Interoperability endpoints

• Direct secure messaging: huib.vriesendorp@direct.myteamcare.com

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679693576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STRATHMORE DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132071650",
            "telephone_number": "131-529-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STRATHMORE DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132071650",
            "telephone_number": "131-529-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VRIESENDORP",
        "first_name": "HUIBERT",
        "middle_name": "MICHIEL",
        "name_prefix": "Dr.",
        "credential": "M.D., PH. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "NY",
            "license": "223451-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Voudren, FNP-C
• Laurel Long Voultsios, MS
• Natalia Hanna Voytovich, FNP-BC
• Rachel Lee Vredenburg
• Laura Bianchi Vreeland, RD
• Tarah E. Vriesenga, O.T.
• Uyen Tu Vu
• Kate Vulcano
• Naga Venkata Rama KR Vura, MD
• Vijaya Rami Vutla, LPN

• Therapeutic Radiology Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Therapeutic Radiology Physician in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.