Active NPI
Thomas L Vanwingen MD PC
- Obstetrics & Gynecology Physician
- Spring Lake, MI
National Provider Identifier
1679772081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301042275
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1607001561 | Other | MI | BCBSM |
| 1972282 | Medicaid | MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Advanced Practice Midwife
- Spring Lake, MI
- NPI 1518029248
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.