KELVIN D. VANOSDOL MD – NPI #1861593105
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

KELVIN VANOSDOL is a physician located in SPRINGFIELD, MO. NPPES has assigned the NPI number 1861593105 to KELVIN VANOSDOL on September 26, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 18 years ago on Jul 15, 2008. 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 KELVIN VANOSDOL below.

NPI Profile for
KELVIN D. VANOSDOL

NPI Number
1861593105
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KELVIN D. VANOSDOL
Credentials
MD
Primary location
1900 S NATIONAL AVE
SUITE 3600
SPRINGFIELD, MO 65804-2265
Phone: (417) 820-3911 Fax: (417) 820-3924
Mailing address
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone: (417) 829-4620 Fax: (417) 829-4316
Sole Proprietor
No
Updated
Identifiers

Identifiers for KELVIN VANOSDOL

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.

DescriptionIssuerStateIdentifier
MEDICAIDMO202065728
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
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
MO R5E16

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.