Active NPI
Jeffery John Vanyperen Jr., D.P.M.
- Foot & Ankle Surgery Podiatrist
- Amory, MS
National Provider Identifier
1942525738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 80221
- 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, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00351 | KY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back Office Management Services LLC | Current | 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
- jeffery_vanyperen_md@yourcarecommunity.org
- 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.
-
- Podiatrist
- Berea, KY
- NPI 1336652585
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
- Abby Tomlin, PT, DPT
- Total Eye Care of Fulton P.a.
- Trinity Health Care, LLC (South Main Family Medical Clinic)
- Jonathan Tucker
- Douglas Michael Turner Jr., M.D.
- Vern M. Christensen, DPM (Foot Specialists of Mississippi)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0118)
- Walgreen Co. (Walgreens #12750)
- Rebecca Cagle Wanee, C-IAYT, MS
- Merrill Frances Warnat, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.