Active NPI
Daniel Lee Vansyoc, MD
- Aerospace Medicine Physician
- Wright Patterson AFB, OH
National Provider Identifier
1770572398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Aerospace Medicine Physician
- License
- 22645
- Practice address
- Usafsam/Acs
2510 Fifth Street Building 840
Wright-Patterson AFB, OH 45433 - Phone
- (937) 938-2648
- NPI assigned
- Oct 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 22645 | IA | |
| Aerospace Medicine Physician | 2083A0100X | 22645 | IA | Primary |
Addresses
Primary practice location
Usafsam/Acs
2510 Fifth Street Building 840
Wright-Patterson AFB, OH 45433
Mailing address
965 Choctaw Vista
Choctaw, OK 73020
Other practice location 1
8941 Entrance Road A
Tinker AFB, OK 73145
Phone (405) 734-4646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22645 | IA | MD | Aerospace Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581897600000",
"number": "1770572398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 CHOCTAW VISTA",
"city": "CHOCTAW",
"state": "OK",
"postal_code": "73020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "USAFSAM/ACS",
"address_2": "2510 FIFTH STREET BUILDING 840",
"city": "WRIGHT-PATTERSON AFB",
"state": "OH",
"postal_code": "45433",
"telephone_number": "937-938-2648"
}
],
"practiceLocations": [
{
"address_1": "8941 Entrance Road A",
"address_purpose": "LOCATION",
"city": "Tinker AFB",
"state": "OK",
"postal_code": "73145",
"country_code": "US",
"telephone_number": "405-734-4646",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANSYOC",
"first_name": "DANIEL",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-17",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "IA",
"license": "22645",
"primary": false
},
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "IA",
"license": "22645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wright Patterson AFB, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.