Active NPI
William John Vandenbelt, MD
- Obstetrics & Gynecology Physician
- Bay City, MI
National Provider Identifier
1831187608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301029467
- Practice address
- 3175 W Professional Dr
Bay City, MI 48706 - Phone
- (989) 667-3377
- Fax
- (989) 667-9991
- NPI assigned
- Oct 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301029467 | MI | Primary |
Addresses
Primary practice location
3175 W Professional Dr
Bay City, MI 48706
Mailing address
501 Lapeer Ave
Saginaw, MI 48607-1208
Phone (989) 759-6464
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P75164 | Other | BLUE CARE NETWORK OF MICH | |
| 193892 | Other | CIGNA | |
| 381908328 | Other | TRICARE | |
| 1831187608 | Medicaid | MI | |
| 4532190 | Other | MOLINA HEALTH CARE OF MI | |
| 0998824 | Other | HEALTHPLUS OF MICHIGAN | |
| 108779 | Other | GREAT LAKES HEALTH PLAN | |
| 110 | Other | COMMUNITY CHOICE OF MI | |
| 4005484 | Other | AETNA | |
| 700G361110 | Other | BCBS OF MICHIGAN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Bay Health Centers | Past | Accepting new patients | |
| Great Lakes Bay Health Centers | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Midland, MI
- NPI 1609609536
-
- Obstetrics & Gynecology Physician
- Saginaw, MI
- NPI 1871684761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1831187608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 LAPEER AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486071208",
"telephone_number": "989-759-6464",
"fax_number": "989-399-8233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3175 W PROFESSIONAL DR",
"city": "BAY CITY",
"state": "MI",
"postal_code": "48706",
"telephone_number": "989-667-3377",
"fax_number": "989-667-9991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDENBELT",
"first_name": "WILLIAM",
"middle_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301029467",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK OF MICH",
"identifier": "P75164",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "193892",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "381908328",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1831187608",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA HEALTH CARE OF MI",
"identifier": "4532190",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLUS OF MICHIGAN",
"identifier": "0998824",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HEALTH PLAN",
"identifier": "108779",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY CHOICE OF MI",
"identifier": "110",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4005484",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICHIGAN",
"identifier": "700G361110",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.