Leonard J. Vanderbosch, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00010451 Issued in WA

Practice address

1003 E Trent Ave
Ste 150
Spokane, WA 99202-2180

Phone

(509) 688-6733

Fax

(509) 688-6777

NPI assigned

Nov 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

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.

• Columbia Medical Associates LLC

  • Family Medicine Physician
  • Spokane, WA
  • NPI 1154414761
  NPD (past)
• Columbia Medical Associates, LLC

  • Multi-Specialty Clinic/Center
  • Spokane, WA
  • NPI 1073720538
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197158400000",
    "number": "1972673747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2808",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99220",
            "telephone_number": "509-688-6733",
            "fax_number": "509-688-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 E TRENT AVE",
            "address_2": "STE 150",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022180",
            "telephone_number": "509-688-6733",
            "fax_number": "509-688-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERBOSCH",
        "first_name": "LEONARD",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00010451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connor Vandecaveye, CBT
• Amber N Vandehey
• Tyson Vandehey
• Peggy L Vandeleest, HIS
• Nicolette Vandenberg
• Lisa Ann Vanderbosch, RN
• Michelle Vanderburg
• Nichole Vandergiessen
• Taunja Vanderholm
• Rebecca Vanderlouw, MSW, LSWAIC

• Family Medicine Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.