CAROLE VANDYKE P.A.
NPI 1114997228
Physician Assistant in Detroit, MI

Q: What is Carole Vandyke's NPI number?

The NPI number for Carole Vandyke is 1114997228. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Q: What is Carole Vandyke's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Carole Vandyke was last updated on January 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 23, 2006

261 MACK AVE, DETROIT, MI 48201(313) 745-7351(313) 745-2376 Get Directions Write a Review

NPPES record last updated: January 8, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Carole Vandyke P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLE VANDYKE P.A. (NPI 1114997228) is an individual physician assistant in Detroit, Michigan, licensed in Michigan (5601002838) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1114997228

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCAROLE VANDYKECredential: P.A.

Location Address261 MACK AVEDetroit, MI 48201-2417

Mailing Address261 Mack AveDetroit, MI 48201-2417 · (313) 745-7351 · Fax (313) 745-2376

Phone(313) 745-7351

Fax(313) 745-2376

Sole ProprietorNo

Enumeration DateJanuary 23, 2006

Last NPPES UpdateJanuary 8, 2009

✔ NPI 1114997228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601002838

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

261 MACK AVE, Detroit, MI 48201

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Other Identifiers 2

Medicare UPINP16286MI

Medicare PINH27858084MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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