Active NPI
Arthur E Vanvranken, M.D.
- Family Medicine Physician
- Graceville, MN
National Provider Identifier
1790784981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35529
- Practice address
- 115 W 2ND St
Graceville, MN 56240-4845 - Phone
- (320) 748-7243
- Fax
- (320) 748-8204
- NPI assigned
- Jul 19, 2005
- Last updated
- Nov 4, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35529 | MN | Primary |
Addresses
Primary practice location
115 W 2ND St
Graceville, MN 56240-4845
Mailing address
PO Box 157
Graceville, MN 56240-0157
Phone (320) 748-7243
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8T203VA | Other | MN | BLUE CROSS BLUE SHIELD MN |
| 274077000 | Medicaid | MN |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35529 | MN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288828800000",
"number": "1790784981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 157",
"city": "GRACEVILLE",
"state": "MN",
"postal_code": "562400157",
"telephone_number": "320-748-7243",
"fax_number": "320-748-8204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 W 2ND ST",
"city": "GRACEVILLE",
"state": "MN",
"postal_code": "562404845",
"telephone_number": "320-748-7243",
"fax_number": "320-748-8204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANVRANKEN",
"first_name": "ARTHUR",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2010-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "35529",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MN",
"identifier": "8T203VA",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274077000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Graceville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.