Michael H. Vanderlick M.D. Apmc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

14489R Issued in LA

Legal business name

MICHAEL H. VANDERLICK M.D. APMC

Practice address

601 W Saint Mary Blvd
Ste. 210
Lafayette, LA 70506-3568

Phone

(337) 291-1162

Fax

(337) 264-1499

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Henry Vanderlick, M.D.

Title

Chief Executor

Phone

(337) 291-1162

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1891725867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W SAINT MARY BLVD",
            "address_2": "STE. 210",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063568",
            "telephone_number": "337-291-1162",
            "fax_number": "337-264-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W SAINT MARY BLVD",
            "address_2": "STE. 210",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063568",
            "telephone_number": "337-291-1162",
            "fax_number": "337-264-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL H. VANDERLICK M.D. APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "VANDERLICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "CHIEF EXECUTOR",
        "authorized_official_telephone_number": "337-291-1162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "14489R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Lafayette, LA
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.