{"npi":"1619951894","type":"NPI-1","status":"active","name":{"display":"Dr. Frederick Vandusen DO","other":[],"first":"FREDERICK","last":"VANDUSEN","middle":"PAUL","credential":"DO"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"DE","license":"C20004063"},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"MD","license":"H67200"}]},"addresses":[{"purpose":"LOCATION","street_1":"119 C N MAIN STREET","city":"GALENA","state":"MD","postal_code":"21635","country_code":"US","phone":"4106485150","fax":"4106485140"},{"purpose":"MAILING","street_1":"119 CN MAIN STREET","city":"GALENA","state":"MD","postal_code":"21635","country_code":"US","phone":"4106485150","fax":"4106485140"}],"license":{"state":"MD","number":"H67200"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"442259700","state":"MD","issuer":null},{"type_code":"05","label":"Medicaid","value":"0001067004","state":"DE","issuer":null},{"type_code":"01","label":"Other","value":"5391600","state":"MD","issuer":"AETNA"},{"type_code":"01","label":"Other","value":"521116591","state":"MD","issuer":"INFORMED"},{"type_code":"01","label":"Other","value":"8177823","state":"MD","issuer":"UNITED HEALTHCARE/MAMSI/OPT CHOICE"},{"type_code":"01","label":"Other","value":"038396","state":"MD","issuer":"PRIORITY PARTNERS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20141203000095","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"WA","pac_id":"7315019585"}]},"enumeration_date":"2005-12-01","last_updated":"2012-03-27","_meta":{"source":"NPPES","snapshot_date":"2012-03-27","doc_url":"https://findmynpi.com/api"}}