Individual provider Active NPI

John Hale Vance, MD

  • Anesthesiology Physician
  • High Point, NC
National Provider Identifier
1972504090
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
38566 Issued in NC
Practice address
401 Ferndale Blvd
High Point, NC 27262-4739
Phone
(336) 882-2567
Fax
(336) 882-5466
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 38566 NC Primary

Addresses

Primary practice location

401 Ferndale Blvd
High Point, NC 27262-4739

Mailing address

PO Box 2168
High Point, NC 27261-2168
Phone (336) 882-2567

Other identifiers 1

IdentifierTypeStateIssuer
8984665MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20051102001017 NC Practitioner - Anesthesiology 6103730304 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Anesthesiology, PA Anesthesiology CurrentSince Feb 1, 1990 Accepting new patients

Locations

401 Ferndale Blvd
High Point, NC 27262
Phone (336) 882-2567

Interoperability endpoints

  • Direct secure messaging: jvance2792699@carolinashealthcaresystem.direct-ci.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1972504090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2168",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272612168",
            "telephone_number": "336-882-2567",
            "fax_number": "336-882-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 FERNDALE BLVD",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624739",
            "telephone_number": "336-882-2567",
            "fax_number": "336-882-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "JOHN",
        "middle_name": "HALE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "38566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8984665",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.