Organization Active NPI

Thomas L Vanwingen MD PC

  • Obstetrics & Gynecology Physician
  • Spring Lake, MI
National Provider Identifier
1679772081
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301042275 Issued in MI
Legal business name
THOMAS L VANWINGEN MD PC
Practice address
109 S Jackson St
Spring Lake, MI 49456-2095
Phone
(616) 842-7406
Fax
(616) 844-7056
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Thomas L Vanwingen, MD
Title
Owner
Phone
(616) 842-7406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 4301042275 MI Primary

Addresses

Primary practice location

109 S Jackson St
Spring Lake, MI 49456-2095

Mailing address

109 S Jackson St
Spring Lake, MI 49456-2095
Phone (616) 842-7406

Other identifiers 2

IdentifierTypeStateIssuer
1607001561OtherMIBCBSM
1972282MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1679772081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S JACKSON ST",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494562095",
            "telephone_number": "616-842-7406",
            "fax_number": "616-844-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S JACKSON ST",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494562095",
            "telephone_number": "616-842-7406",
            "fax_number": "616-844-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS L VANWINGEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "VANWINGEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-842-7406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301042275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1607001561",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972282",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.