DOUGLAS M. VANDRIE M.D. – NPI #1376557389
Obstetrics & Gynecology

A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

DOUGLAS VANDRIE is a physician located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1376557389 to DOUGLAS VANDRIE on July 27, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207VF0040X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Female Pelvic Medicine and Reconstructive Surgery

The NPI profile was previously updated about 13 years ago on Sep 27, 2013. 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 DOUGLAS VANDRIE below.

NPI Profile for
DOUGLAS M. VANDRIE

NPI Number
1376557389
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DOUGLAS M. VANDRIE
Credentials
M.D.
Primary location
555 MIDTOWNE STREET NE
SUITE 450
GRAND RAPIDS, MI 49503-5732
Phone: (616) 588-1800 Fax: (616) 588-1850
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for DOUGLAS VANDRIE

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
MEDICAIDMI1332800
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
207VF0040X
- Obstetrics & Gynecology / Female Pelvic Medicine and Reconstructive Surgery (Primary)
MI 4301037779

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.