Provider Type Icon

JOHN A. VANDE WAA DO PHD NPI 1447290630


NPI Information

NPI: 1447290630
Provider Name: JOHN A. VANDE WAA, DO, PHD
Classification: Internal Medicine - 207RI0200X
Entity Type: Individual

Specialization: Infectious Disease

PECOS Registration: Yes

Address:
2451 FILLINGIM ST
MASTIN BLDG
MOBILE, AL
ZIP 36617
Phone: (251) 470-5890
Get Directions

John A. Vande Waa, DO, PHD is an infectious disease internal medicine in Mobile, AL with 35 years of experience. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. John A. Vande Waa, DO, PHD NPI is 1447290630. 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 OSTEOPATHIC MEDICINE
Graduation Year:1989

The provider's business location address is:

2451 FILLINGIM ST
MASTIN BLDG
MOBILE, AL
ZIP 36617-238
Phone: (251) 470-5890
Fax: (251) 471-7925

The NPI 1447290630 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 enumeration date for this NPI number is 6/7/2006 and was last updated on 5/12/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RI0200XInternal MedicineInfectious DiseaseDO-401ALABAMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
151543343OTHERALABAMABCBS - FILLINGIM ST
21503762MEDICAIDFLORIDA
3000023305MEDICAIDALABAMA
451505303OTHERALABAMABCBS
551532424OTHERALABAMABCBS
6F91478MEDICARE UPIN
700121697MEDICAIDMISSISSIPPI
851023305OTHERALABAMABCBS
992-10077OTHERALABAMAUNITED HEALTHCARE
10009935162MEDICAIDALABAMA
11009975140MEDICAIDALABAMA
12255961700MEDICAIDFLORIDA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.