MR. STEPHEN JOHN VANWYLEN M.D. NPI 1437115565

NPI Information

  • NPI: 1437115565
  • Provider Name: MR. STEPHEN JOHN VANWYLEN, M.D.
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 709 4TH AVE NE
    WATFORD CITY, ND
    ZIP 58854
  • Phone: (701) 842-3771

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NPI Details

MR. Stephen John Vanwylen, M.D. is a surgery in Watford City, ND with 44 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. MR. Stephen John Vanwylen, M.D. NPI is 1437115565. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year:1982

The provider's business location address is:

709 4TH AVE NE
WATFORD CITY, ND
ZIP 58854-628
Phone: (701) 842-3771
Fax: (701) 842-4025

The NPI 1437115565 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Colonoscopy (HCPCS:NAN13)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 4/26/2006 and was last updated on 10/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery43010402855MICHIGANNo
2208600000XSurgery8806NORTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11916935MEDICAIDMICHIGAN
2020G010060OTHERMICHIGANBLUE CROSS BLUE SHIELD MI
3382809956OTHERCOMMERCIAL
471992MEDICAIDNORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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