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DAVID VANDAM LLC
NPI 1417389396
Nurse Anesthetist, Certified Registered in Royal Oak, MI

Active since August 02, 2013
5130 COOLIDGE HWY, SUITE 120, ROYAL OAK, MI 48073(248) 658-0878(248) 435-0930 Get Directions Write a Review

NPPES record last updated: November 11, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About David Vandam Llc NPPES

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

DAVID VANDAM LLC (NPI 1417389396) is a healthcare organization registered as a nurse anesthetist, certified registered in Royal Oak, Michigan and active in the NPI registry since August 2013. The organization lists David Van Dam, Owner, as its authorized official.

NPPES Registry Identity

NPI1417389396
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameDAVID VANDAM LLC
Location Address5130 COOLIDGE HWY, SUITE 120Royal Oak, MI 48073-1001
Mailing Address6985 Miller DrWarren, MI 48092-4725 · (586) 264-3500 · Fax (586) 264-3495
Phone(248) 658-0878
Fax(248) 435-0930
Organization SubpartNo
Authorized OfficialDavid Van DamOwner · (248) 421-5876
Enumeration DateAugust 2, 2013
Last NPPES UpdateNovember 11, 2013
✔ NPI 1417389396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MI · 4704115131
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
5130 COOLIDGE HWY, Royal Oak, MI 48073
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

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.

MR. KINJAL PATEL PHYSICAL THERAPIST
Physical Therapist
5130 COOLIDGE HWY
ROYAL OAK, MI 48073
Oakland County (248) 435-7400
THERESA A CARRIER-TORREALBA FNP-C
Nurse Practitioner (Family)
5130 COOLIDGE HWY
ROYAL OAK, MI 48073
Oakland County (248) 237-4891
ROYAL OAK MEDICAL CENTER PC
Clinic/Center
5130 COOLIDGE HWY
ROYAL OAK, MI 48073
Oakland County (248) 288-9500
ROYAL OAK MEDICAL CENTER, P.C.
Family Medicine
5130 COOLIDGE HWY
ROYAL OAK, MI 48073
Oakland County (248) 288-9500
DR. MUMTAZ GEORGE M.D.
Internal Medicine
5130 COOLIDGE HWY
ROYAL OAK, MI 48073
Oakland County (248) 288-9500
MR. DHARMESHKUMAR RAMANBHAI PATEL R.P.T.
Physical Therapist
5130 COOLIDGE HWY
ROYAL OAK, MI 48073
Oakland County (517) 392-0120
ROYAL OAK MEDICAL CENTER PC
Internal Medicine
5130 COOLIDGE HWY
ROYAL OAK, MI 48073
Oakland County (248) 288-9500
RESHMA SALVI PT
Physical Therapist
5130 COOLIDGE HWY
ROYAL OAK, MI 48073
Oakland County (248) 435-7400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Vandam LLC's NPI number?

The NPI number for David Vandam LLC is 1417389396. It was assigned to this organization in the NPPES registry on August 2, 2013.

Where is David Vandam LLC located?

David Vandam LLC is located at 5130 Coolidge Hwy Suite 120, Royal Oak, MI 48073. The listed phone number is (248) 658-0878.

What is David Vandam LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

What insurance does David Vandam LLC accept?

Health plans from Priority Health list David Vandam LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Vandam LLC was last updated on November 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.