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JERROLD A VANDYKE MD
NPI 1942295399
Radiology - Diagnostic Radiology in Mishawaka, IN

Active since September 13, 2005
620 W EDISON RD, SUITE 110, MISHAWAKA, IN 46545(574) 258-1100(574) 258-1101 Get Directions Write a Review

NPPES record last updated: May 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerrold A Vandyke Md NPPES

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

JERROLD A VANDYKE MD (NPI 1942295399) is an individual diagnostic radiology provider in Mishawaka, Indiana, licensed in Indiana (E03694) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1942295399
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJERROLD A VANDYKECredential: MD
Location Address620 W EDISON RD, SUITE 110Mishawaka, IN 46545-2784
Mailing Address620 W Edison Rd, Suite 110Mishawaka, IN 46545-2784 · (574) 258-1100 · Fax (574) 258-1101
Phone(574) 258-1100
Fax(574) 258-1101
Sole ProprietorNo
Enumeration DateSeptember 13, 2005
Last NPPES UpdateMay 16, 2013
✔ NPI 1942295399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in IN · E03694
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License E03694 (IN)
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License E03694 (IN)
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License E03694 (IN)
Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X · License E03694 (IN)
Also ListedRadiology · Therapeutic RadiologyTaxonomy 2085R0203X · License E03694 (IN)
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License E03694 (IN)
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License E03694 (IN)
620 W EDISON RD, Mishawaka, IN 46545
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Other Identifiers 3

Medicare UPINE03964
Medicaid100090040IN
Medicare PIN728230CIN

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.

SAMIR B PATEL MD
Radiology (Diagnostic Radiology)
620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545
St. Joseph County (574) 258-1100
JAMES C FIELD MD
Radiology (Diagnostic Radiology)
620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545
St. Joseph County (547) 258-1100
MARK J ORMSON MD
Radiology (Diagnostic Radiology)
620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545
St. Joseph County (574) 258-1100
JOHN C HILL DO
Radiology (Diagnostic Radiology)
620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545
St. Joseph County (574) 258-1100
MARY C DYNES MD
Radiology (Diagnostic Radiology)
620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545
St. Joseph County (574) 258-1100
FRANCOISE M DION MD
Radiology (Diagnostic Radiology)
620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545
St. Joseph County (574) 258-1100
CHRISTINE MARSCH O'MALLEY MD
Radiology (Diagnostic Radiology)
620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545
St. Joseph County (574) 258-1100
KATRINA T VANDERVEEN MD
Radiology (Diagnostic Radiology)
620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545
St. Joseph County (574) 258-1100

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 Jerrold Vandyke's NPI number?

The NPI number for Jerrold Vandyke is 1942295399. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Jerrold Vandyke located?

Jerrold Vandyke practices at 620 W Edison Rd Suite 110, Mishawaka, IN 46545. The listed phone number is (574) 258-1100.

What is Jerrold Vandyke's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Jerrold Vandyke was last updated on May 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.