Individual provider Active NPI

Barbara J Vanfossen, DPM

  • Podiatrist
  • Lancaster, OH
National Provider Identifier
1861467953
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003139V Issued in OH
Practice address
1334 Sheridan Dr
Suite 4
Lancaster, OH 43130-3956
Phone
(740) 687-9345
Fax
(740) 689-1459
NPI assigned
Feb 22, 2006
Last updated
Jul 16, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36003139V OH Primary

Addresses

Primary practice location

1334 Sheridan Dr
Suite 4
Lancaster, OH 43130-3956

Mailing address

1334 Sheridan Dr
Suite 4
Lancaster, OH 43130-3956
Phone (740) 687-9345

Other identifiers 1

IdentifierTypeStateIssuer
2141953MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040211000868 OH Practitioner - Podiatry 6709770605 Practice locations: Lancaster, OH

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1334 Sherdan Dr
Lancaster, OH 43130-3956
Phone (740) 687-9345

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003139VOHMDPodiatrist

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1861467953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 SHERIDAN DR",
            "address_2": "SUITE 4",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303956",
            "telephone_number": "740-687-9345",
            "fax_number": "740-689-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 SHERIDAN DR",
            "address_2": "SUITE 4",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303956",
            "telephone_number": "740-687-9345",
            "fax_number": "740-689-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANFOSSEN",
        "first_name": "BARBARA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003139V",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2141953",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.