William Joseph Vandyke , 01-
Specialist • Placerville, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, William Vandyke has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
William Vandyke, 01- was a registered Specialist practicing in Placerville, CA. Throughout an active medical career spanning 10 years, William Vandyke provided care at the practice location at 2321 UNION RIDGE CT until profile deactivation on 2017-05-24.
Practice Location & Contact Primary Location
2321 Union Ridge Ct
Placerville, CA 956673729
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Placerville, CA
Practicing in Placerville, CA (6446 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 24, 2017
NPI status registered as active in NPPES database
Registered at 2321 UNION RIDGE CT, PLACERVILLE, CA 956673729 (Tel: 5306264778)
Registered at 2321 UNION RIDGE CT, PLACERVILLE, CA 956673729 (Tel: 5306264778)
Recorded as WILLIAM VANDYKE, 01-006816
Specialist (License #01-006816 in CA)
First registered as active Individual Practitioner in NPPES Database.
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Mailing Address
2321 Union Ridge Ct
Placerville, CA 956673729
Phone: 5306264778
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