Gary Vandewege, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

14415 Issued in NE

Practice address

600 E Francis St
Suite #3
North Platte, NE 69101-6796

Phone

(308) 532-6906

Fax

(308) 532-6964

NPI assigned

Nov 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• TLC Healthcare Wound Specialists Inc

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1699918235
  NPD (past)

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1902887631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E FRANCIS ST",
            "address_2": "SUITE #3",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016796",
            "telephone_number": "308-532-6906",
            "fax_number": "308-532-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E FRANCIS ST",
            "address_2": "SUITE #3",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016796",
            "telephone_number": "308-532-6906",
            "fax_number": "308-532-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEWEGE",
        "first_name": "GARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "14415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Twin Rivers Urgent Care LLC
• Union Pacific RR Employes Health System
• Eric Van Boening, D.D.S.
• Shelby Van Rensburg
• Michelle M. Vance, CRNA
• Roseann Vanstell
• Praveena Vantipalli, MBBS
• Celie Marie Vaughn, RD
• Daibeliz Tamara Vega Gonzalez, MSPAS, PA-C, ATC
• Abigail J Vieyra

• Family Medicine Physician in North Platte, NE
• Providers in North Platte, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.