DR. FRED CHARLES VANNATTA M.D. NPI 1891897617

NPI Information

  • NPI: 1891897617
  • Provider Name: DR. FRED CHARLES VANNATTA, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 695 DUTCHESS TPKE
    SUITE 105
    POUGHKEEPSIE, NY
    ZIP 12603
  • Phone: (888) 647-5979

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NPI Details

DR. Fred Charles Vannatta, M.D. is a diagnostic radiology radiology in Poughkeepsie, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Fred Charles Vannatta, M.D. NPI is 1891897617. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

695 DUTCHESS TPKE
SUITE 105
POUGHKEEPSIE, NY
ZIP 12603-442
Phone: (888) 647-5979
Fax: (888) 847-0818

The enumeration date for this NPI number is 9/2/2006 and was last updated on 12/6/2007.

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
12085R0202XRadiologyDiagnostic Radiology25MA07673300NEW JERSEYNo
22085R0202XRadiologyDiagnostic Radiology31689ARIZONANo
32085R0202XRadiologyDiagnostic Radiology041448CONNECTICUTNo
42085R0202XRadiologyDiagnostic RadiologyA23570CALIFORNIANo
52085R0202XRadiologyDiagnostic RadiologyMD041298EPENNSYLVANIANo
62085R0202XRadiologyDiagnostic Radiology141442NEW YORKYes

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
1906S9WQ111OTHERNEW YORKMEDICARE
2B14194MEDICARE UPINPENNSYLVANIA

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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