Individual
ROYCE J. VANDERVORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1307 FEDERAL ST, SUITE 101, PITTSBURGH, PA 15212-4705
(412) 231-6550
(412) 231-6697
Mailing address
4135 BOARDMAN CANFIELD RD, SUITE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
RN239247
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
RN536104
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019763430008
—
PA
01
—
074629TV6
MEDICARE PTAN
PA
01
—
11929464
CAQH
—
05
—
2418379
—
OH
01
—
8232124
MEDICARE PTAN
OH
Enumeration date
06/15/2006
Last updated
08/05/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us