Active NPI
John E Vangilder, MD
- Cardiovascular Disease Physician
- Zanesville, OH
National Provider Identifier
1871579854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 35039543V
- Practice address
- 955 Bethesda Dr
1St Floor
Zanesville, OH 43701-1873 - Phone
- (740) 454-0804
- Fax
- (740) 450-3447
- NPI assigned
- Dec 21, 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 35039543V | OH | Primary |
Addresses
Primary practice location
955 Bethesda Dr
1St Floor
Zanesville, OH 43701-1873
Mailing address
1246 Ashland Ave
Suite 204
Zanesville, OH 43701-2861
Phone (740) 454-0804
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0318365 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35039543V | OH | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Professional Corp | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Physician
- Zanesville, OH
- NPI 1497755623
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475625600000",
"number": "1871579854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1246 ASHLAND AVE",
"address_2": "SUITE 204",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437012861",
"telephone_number": "740-454-0804",
"fax_number": "740-450-3447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 BETHESDA DR",
"address_2": "1ST FLOOR",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437011873",
"telephone_number": "740-454-0804",
"fax_number": "740-450-3447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANGILDER",
"first_name": "JOHN",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2016-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OH",
"license": "35039543V",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0318365",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Zanesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.