OrganizationActive
John R Vydareny MD PC
NPI 1255502605 · Dermatology Physician · Grand Rapids, MI
John R Vydareny MD PC is a Dermatology Physician organization in Grand Rapids, MI (NPI 1255502605).
Provider details
- NPI number
- 1255502605
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Vydareny, Owner(616) 459-1144
- License
- JV028722 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1900 Wealthy St Se
Grand Rapids, MI 49506-2969
Phone: (616) 459-1144
Fax: (616) 459-3594
Street-level locationGet directions
Mailing address
1900 Wealthy St Se
Grand Rapids, MI 49506-2969
Registry dates
- Enumerated
- 2008-03-13
- Last updated
- 2008-04-17
Frequently asked questions
- What is John R Vydareny MD PC's NPI number?
- John R Vydareny MD PC's National Provider Identifier (NPI) is 1255502605, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is John R Vydareny MD PC?
- John R Vydareny MD PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is John R Vydareny MD PC located?
- John R Vydareny MD PC's practice location on file with NPPES is 1900 Wealthy St Se, Grand Rapids, MI 49506-2969.
- What is John R Vydareny MD PC's phone number?
- The practice phone number listed in the NPPES registry for John R Vydareny MD PC is (616) 459-1144.
- Who is the authorized official for John R Vydareny MD PC?
- The authorized official listed on John R Vydareny MD PC's NPPES record is John Vydareny, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is John R Vydareny MD PC's NPI active?
- Yes — John R Vydareny MD PC's NPI (1255502605) is active in the NPPES registry as of the last update on 2008-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.