Jeffrey A Vancuren, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

01046838 Issued in IN

Practice address

1025 Michigan Ave
Suite 115
Logansport, IN 46947-1593

Phone

(574) 722-3566

Fax

(574) 753-6118

NPI assigned

Mar 27, 2006

Last updated

Jul 26, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Logansport Clinic for Women

  dba Women's Health Center of Logansport

  • Obstetrics & Gynecology Physician
  • Logansport, IN
  • NPI 1376767178
  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1821058363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MICHIGAN AVE",
            "address_2": "SUITE 115",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471593",
            "telephone_number": "574-722-3566",
            "fax_number": "574-753-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MICHIGAN AVE",
            "address_2": "SUITE 115",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471593",
            "telephone_number": "574-722-3566",
            "fax_number": "574-753-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCUREN",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01046838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200124110A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000524942",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200124110",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Jeanne Ulery, RBT
• Marta L Ulrich, RPH
• United Taxi Car Service LLC
• Unity Healthcare LLC (Cass Employer Clinic)
• Unity Healthcare LLC
• Kral Varhan, MD
• Alvaro M Vega, P.A.
• Gavin Vizcarra, BA
• Jason Edwin Vogt, MS
• Wabash Em I Medical Services PC

• Obstetrics & Gynecology Physician in Logansport, IN
• Providers in Logansport, IN by specialty
• Obstetrics & Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.