John R Vydareny MD PC
NPI 1255502605ActiveOrganization· Dermatology· Grand Rapids, MI
Dermatology in Grand Rapids, Michigan, registered in NPPES in March 2008. The authorized official on file is John R. Vydareny, MD, Owner.
Overview
| NPI | 1255502605 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2008 |
| Last updated in NPPES | Apr 17, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | JV028722 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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