Individual provider Active NPI

Jeffery John Vanyperen Jr., D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Amory, MS
National Provider Identifier
1942525738
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
80221 Issued in MS
Practice address
1107 Earl Frye Blvd Ste 1
Amory, MS 38821-5519
Phone
(662) 257-2357
NPI assigned
Apr 5, 2010
Last updated
Sep 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 00351 KY
Foot & Ankle Surgery Podiatrist 213ES0103X POD001191 GA
Foot & Ankle Surgery Podiatrist 213ES0103X 80221 MS Primary

Addresses

Primary practice location

1107 Earl Frye Blvd Ste 1
Amory, MS 38821-5519

Mailing address

1107 Earl Frye Blvd Ste 1
Amory, MS 38821-5519
Phone (662) 257-2357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230928001482 KY Practitioner - Podiatry 8820250954 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00351KYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Back Office Management Services LLC CurrentSince Aug 10, 2023 Accepting new patients

Locations

1043 Brooklyn Blvd
Berea, KY 40403
Phone (859) 228-0551

515 Greene Dr
Greenville, KY 42345
Phone (270) 338-5400

Interoperability endpoints

  • Direct secure messaging: jeffery_vanyperen_md@yourcarecommunity.org
  • Direct secure messaging: jvanyperen@direct.meditouchehr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1942525738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 EARL FRYE BLVD STE 1",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215519",
            "telephone_number": "662-257-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 EARL FRYE BLVD STE 1",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215519",
            "telephone_number": "662-257-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANYPEREN",
        "first_name": "JEFFERY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-05",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "00351",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001191",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MS",
            "license": "80221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amory, MS

Sources for this page

Verify at the official NPI Registry.