DR. JOHN R. VYDARENY MD
NPI 1619958576
Dermatology in Grand Rapids, MI

Active since November 08, 2005
833 MICHIGAN ST NE, SUITE 102, GRAND RAPIDS, MI 49503(616) 459-1144(616) 459-0313 Get Directions Write a Review

NPPES record last updated: March 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John R. Vydareny Md NPPES

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

DR. JOHN R. VYDARENY MD (NPI 1619958576) is an individual dermatology provider in Grand Rapids, Michigan, licensed in Michigan (JV028722) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1619958576
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. JOHN R. VYDARENYCredential: MD
Location Address833 MICHIGAN ST NE, SUITE 102Grand Rapids, MI 49503-3523
Mailing Address833 Michigan St Ne, Suite 102Grand Rapids, MI 49503-3523 · (616) 459-1144 · Fax (616) 459-0313
Fax(616) 459-0313
Sole ProprietorNo
Enumeration DateNovember 8, 2005
Last NPPES UpdateMarch 16, 2015
NPI 1619958576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MI · JV028722
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
833 MICHIGAN ST NE, Grand Rapids, MI 49503

Other Identifiers 2

Medicare PINP09760006MI
Medicaid1075285MI

Other Providers at the Same Location NPPES 6

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

Dermatology
833 MICHIGAN ST NE, SUITE 102
GRAND RAPIDS, MI 49503
Ophthalmology
833 MICHIGAN ST NE, SUITE 101
GRAND RAPIDS, MI 49503
Physician Assistant
833 MICHIGAN ST NE, SUITE 102
GRAND RAPIDS, MI 49503
Dermatology
833 MICHIGAN ST NE, SUITE 102
GRAND RAPIDS, MI 49503
Dermatology
833 MICHIGAN ST NE, SUITE 102
GRAND RAPIDS, MI 49503
Dermatology (Dermatopathology)
833 MICHIGAN ST NE, SUITE 102
GRAND RAPIDS, MI 49503

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 John Vydareny's NPI number?

The NPI number for John Vydareny is 1619958576. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is John Vydareny located?

John Vydareny practices at 833 Michigan St NE Suite 102, Grand Rapids, MI 49503. The listed phone number is (616) 459-1144.

What is John Vydareny's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for John Vydareny was last updated on March 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.