Daniel J Verburg, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

4301035417 Issued in MI

Practice address

2390 Mitchell Park Dr
Unit D
Petoskey, MI 49770-8965

Phone

(231) 487-9355

Fax

(231) 487-1737

NPI assigned

Mar 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Bayview OB/GYN, PC

  • Obstetrics & Gynecology Physician
  • Petoskey, MI
  • NPI 1013001254
  NPD (past) Authorized official

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1922076777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 MITCHELL PARK DR",
            "address_2": "UNIT D",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708965",
            "telephone_number": "231-487-9355",
            "fax_number": "231-487-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 MITCHELL PARK DR",
            "address_2": "UNIT D",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708965",
            "telephone_number": "231-487-9355",
            "fax_number": "231-487-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERBURG",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301035417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1602410911",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4085801",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI",
            "identifier": "160B41011",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "383445481",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "160046901",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI",
            "identifier": "0B41179",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Vanevery, M.D.
• Tanya Vanillo
• Raquel Vansickle, LLMSW
• Brad E Vazales, M.D.
• Kenneth W Verbos II, MD
• Lori Vezina
• Matthew L Visconti, M.D.
• Vision Max PC
• Vital Care Home Medical Equip Inc
• VMS Northern Michigan PC

• Obstetrics & Gynecology Physician in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.