FREDERICK P. VANDUSEN DO – NPI #1619951894
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

FREDERICK VANDUSEN is a physician located in GALENA, MD. NPPES has assigned the NPI number 1619951894 to FREDERICK VANDUSEN on December 01, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 14 years ago on Mar 27, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FREDERICK VANDUSEN below.

NPI Profile for
FREDERICK P. VANDUSEN

NPI Number
1619951894
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
FREDERICK P. VANDUSEN
Credentials
DO
Primary location
119 C N MAIN STREET
GALENA, MD 21635
Phone: (410) 648-5150 Fax: (410) 648-5140
Mailing address
119 CN MAIN STREET
GALENA, MD 21635
Phone: (410) 648-5150 Fax: (410) 648-5140
Sole Proprietor
No
Updated
Identifiers

Identifiers for FREDERICK VANDUSEN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNAMD5391600
OTHERINFORMEDMD521116591
OTHERPRIORITY PARTNERSMD038396
OTHERUNITED HEALTHCARE/MAMSI/OPT CHOICEMD8177823
MEDICAIDDE0001067004
MEDICAIDMD442259700
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
DE C20004063

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.