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MISS RUTH JEAN VANDENBERG P.A.-C.
NPI 1679783120
Physician Assistant in Grand Rapids, MI

Active since May 23, 2007
1330 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49505(616) 776-0814(616) 776-9956 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Ruth Jean Vandenberg P.a.-c. NPPES

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

MISS RUTH JEAN VANDENBERG P.A.-C. (NPI 1679783120) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601004042) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1679783120
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS RUTH JEAN VANDENBERGCredential: P.A.-C.
Location Address1330 PLAINFIELD AVE NEGrand Rapids, MI 49505-4913
Mailing AddressPo Box 2564Grand Rapids, MI 49501-2564 · (646) 776-0814 · Fax (616) 776-9956
Phone(616) 776-0814
Fax(616) 776-9956
Sole ProprietorNo
Enumeration DateMay 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679783120 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 · 5601004042
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.
1330 PLAINFIELD AVE NE, Grand Rapids, MI 49505
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Other Providers at the Same Location NPPES 2

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

CRESTON MEDICAL SERVICE, PC
Family Medicine
1330 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 776-1275
CRESTON MEDICAL CENTER, PLLC
Clinic/Center (Health Service)
1330 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 776-1275

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 Ruth Vandenberg's NPI number?

The NPI number for Ruth Vandenberg is 1679783120. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Ruth Vandenberg located?

Ruth Vandenberg practices at 1330 Plainfield Ave NE, Grand Rapids, MI 49505. The listed phone number is (616) 776-0814.

What is Ruth Vandenberg's specialty?

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

When was this NPI record last updated?

The NPPES record for Ruth Vandenberg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.