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KEITH G VANDERZYL JR MD PA
NPI 1689866121
Specialist in Ozark, AL

Active since August 17, 2007
218 HOSPITAL AVE, STE D, OZARK, AL 36360(334) 774-5501(334) 445-9785 Get Directions Write a Review

NPPES record last updated: June 5, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keith G Vanderzyl Jr Md Pa NPPES

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

KEITH G VANDERZYL JR MD PA (NPI 1689866121) is a healthcare organization registered as a specialist in Ozark, Alabama and active in the NPI registry since August 2007. The organization lists Keith Grant Vanderzyl, President, as its authorized official.

NPPES Registry Identity

NPI1689866121
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKEITH G VANDERZYL JR MD PA
Location Address218 HOSPITAL AVE, STE DOzark, AL 36360-2064
Mailing Address218 Hospital Ave, Ste DOzark, AL 36360-2064 · (334) 774-5501 · Fax (334) 445-9785
Phone(334) 774-5501
Fax(334) 445-9785
Organization SubpartNo
Authorized OfficialKeith Grant VanderzylPresident · (334) 774-5501
Enumeration DateAugust 17, 2007
Last NPPES UpdateJune 5, 2008
✔ NPI 1689866121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AL · 8612
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
218 HOSPITAL AVE, Ozark, AL 36360
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Other Identifiers 5

Other0196890002AL · Dmerc
Medicaid000011034AL
Medicare PIND08196AL
Other000011034Bcbs
Medicare PINJ600AL

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

Other Providers at the Same Location NPPES 7

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

DALE MEDICAL CENTER
Family Medicine
218 HOSPITAL AVE, STE B
OZARK, AL 36360
Dale County (334) 774-3000
EMILY ANN BELL
Nurse Practitioner (Family)
218 HOSPITAL AVE
OZARK, AL 36360
Dale County (334) 774-1982
DR. RICHARD SCOTT HAMMOCK MD
Family Medicine
218 HOSPITAL AVE, SUITE A
OZARK, AL 36360
Dale County (334) 774-1982
DALE MEDICAL SPECIALTY CLINIC
Internal Medicine (Rheumatology)
218 HOSPITAL AVE, SUITE A1
OZARK, AL 36360
Dale County (334) 443-0190
OLIVER WILSON CRAWFORD JR. MD
Internal Medicine (Pulmonary Disease)
218 HOSPITAL AVE, SUITE B
OZARK, AL 36360
Dale County (334) 774-5864
DALE MEDICAL CENTER
Internal Medicine
218 HOSPITAL AVE, SUITE B
OZARK, AL 36360
Dale County (334) 774-5864
GIANG N LAM, M.D., P.C.
Family Medicine
218 HOSPITAL AVE, SUITE B
OZARK, AL 36360
Dale County (334) 445-4803

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 Keith G Vanderzyl Jr MD PA's NPI number?

The NPI number for Keith G Vanderzyl Jr MD PA is 1689866121. It was assigned to this organization in the NPPES registry on August 17, 2007.

Where is Keith G Vanderzyl Jr MD PA located?

Keith G Vanderzyl Jr MD PA is located at 218 Hospital Ave Ste D, Ozark, AL 36360. The listed phone number is (334) 774-5501.

What is Keith G Vanderzyl Jr MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Keith G Vanderzyl Jr MD PA was last updated on June 5, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.