David F Vanderburgh, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

35078133 Issued in OH

Practice address

1908 Coolidge Drive
Dayton, OH 45419

Phone

(937) 657-8288

Fax

(937) 299-3875

NPI assigned

May 9, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Kettering Network Radiologists Inc

  • Diagnostic Radiology Physician
  • Kettering, OH
  • NPI 1346299153
  NPD (past)
• Radiology Physicians Inc

  • Diagnostic Radiology Physician
  • Dayton, OH
  • NPI 1851390850
  NPD (past)
• Riverside Radiology and Interventional Associates Inc

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1093718496
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1942259742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 COOLIDGE DRIVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45419",
            "telephone_number": "937-657-8288",
            "fax_number": "937-299-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 COOLIDGE DRIVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45419",
            "telephone_number": "937-657-8288",
            "fax_number": "937-299-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERBURGH",
        "first_name": "DAVID",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35078133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2198894",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Vance, RN
• Dustin Eugene Vance
• Emily Vance
• Nazaray Ann Vance
• Leon D Vandecreek, PHD
• Joel Vandersluis, M.D.
• Michael Vanderveen, CDCA
• Julie Anne Vandesandt, OTR L
• Mark Vandivier
• Ashton Vandyke

• Diagnostic Radiology Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.