MEDICARE: COMMUNITY PHYSICIANS OF YELLOW SPRINGS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	35036419	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659371433
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY PHYSICIANS OF YELLOW SPRINGS, INC.

Provider Business Mailing Address
First Line	:	1425 XENIA AVE
Second Line	:
City	:	YELLOW SPRINGS
State	:	OH
Zip	:	45387-1121
Country	:	US
Telephone Number	:	937-376-3596
Fax Number	:	937-767-1302

Provider Business Practice Location Address
First Line	:	1425 XENIA AVE
Second Line	:
City	:	YELLOW SPRINGS
State	:	OH
Zip	:	45387-1121
Country	:	US
Telephone Number	:	937-376-3596
Fax Number	:	937-767-1302

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PAUL VANAUSDAL
Credential	:	MD
Telephone Number	:	937-767-7291

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1467452243 — PAUL F VANAUSDAL MD
Practice Location Address:

1425 XENIA AVE
YELLOW SPRINGS, OH
45387-1121

Practice Phone: 937-767-7291
Practice Fax: 937-767-1302

1093091324 — GREENE HOSPITAL SERVICES, LLC
Practice Location Address:

1425 XENIA AVE
YELLOW SPRINGS, OH
45387-1121

Practice Phone: 937-767-7291
Practice Fax: 937-767-1302

1376572339 — SAFEWAY INC
Practice Location Address:

1121 N CIRCLE DR
COLORADO SPRINGS, CO
80909-3134

Practice Phone: 719-573-6061
Practice Fax: 719-573-1059

1689755548 — SINGING RIVER HEALTH SYSTEM
Practice Location Address:

1121 OCEAN SPRINGS RD
OCEAN SPRINGS, MS
39564-3421

Practice Phone: 228-818-2160
Practice Fax: 228-872-7768

1104985100 — PATTERSONS PHARMACY CO INC
Practice Location Address:

1121 OCEAN SPRINGS RD
OCEAN SPRINGS, MS
39564-3421

Practice Phone: 228-875-0158
Practice Fax: 228-875-2266

1770700577 — MR. FRASER RICHARD CZAJKOWSKI PHARMACIST
Practice Location Address:

1121 N CIRCLE DR
COLORADO SPRINGS, CO
80909-3134

Practice Phone: 719-573-6061
Practice Fax: 719-573-1059

Directions to “COMMUNITY PHYSICIANS OF YELLOW SPRINGS, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.