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JOHN CHANDLER VAN DYKE MD NPI 1487151536


NPI Information

NPI: 1487151536
Provider Name: JOHN CHANDLER VAN DYKE, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1118 GULF BREEZE PKWY STE 202
GULF BREEZE, FL
ZIP 32561
Phone: (504) 326-8518
Get Directions

John Chandler Van Dyke, MD is a diagnostic radiology radiology in Gulf Breeze, FL with 6 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. John Chandler Van Dyke, MD NPI is 1487151536. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2018

The provider's business location address is:

1118 GULF BREEZE PKWY STE 202
GULF BREEZE, FL
ZIP 32561-803
Phone: (504) 326-8518
Fax: (504) 386-8218

The NPI 1487151536 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 4/6/2018 and was last updated on 2/7/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyMD.46805ALABAMANo
2208D00000XGeneral Practice327710LOUISIANANo
32085R0202XRadiologyDiagnostic RadiologyME163076FLORIDAYes

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.