Active NPI
Peter J Vangiesen, M.D.
- Orthopaedic Surgery Physician
- York, PA
National Provider Identifier
1881694628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD013543E
- Practice address
- 1855 Powder Mill Rd
York, PA 17402-3757 - Phone
- (717) 848-4800
- Fax
- (717) 741-9867
- NPI assigned
- Jul 22, 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD013543E | PA | Primary |
Addresses
Primary practice location
1855 Powder Mill Rd
York, PA 17402-3757
Mailing address
1855 Powder Mill Rd
York, PA 17402-4723
Phone (717) 848-4800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0197900001 | Other | MEDICARE DME | |
| 654265 | Medicaid | PA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303862400000",
"number": "1881694628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 POWDER MILL RD",
"city": "YORK",
"state": "PA",
"postal_code": "174024723",
"telephone_number": "717-848-4800",
"fax_number": "717-741-9867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 POWDER MILL RD",
"city": "YORK",
"state": "PA",
"postal_code": "174023757",
"telephone_number": "717-848-4800",
"fax_number": "717-741-9867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANGIESEN",
"first_name": "PETER",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2011-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "MD013543E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DME",
"identifier": "0197900001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "654265",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.