Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Roger Vanderwel, MD

Individual provider Pediatrics Physician · NPI 1740212901

Mark Roger Vanderwel, MD practises Pediatric Medicine in Charlotte, North Carolina. Graduated from Michigan State University College of Human Medicine in 1997, 29 years ago. Practices with Atrium Health Childrens Specialty Network Inc, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
29
Trained at
Michigan State University College of Human Medicine
Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4501 Cameron Valley Pkwy Ste 200
Charlotte, NC 28211-4297
Phone: (704) 512-3636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1781 Tate Blvd Se, Hickory, NC 28602-4251 — (704) 512-3636

Specialties & licences

Pediatric Endocrinology Physician (primary) Taxonomy 2080P0205X · Licence 200001011 (NC)
Pediatrics Physician Taxonomy 208000000X · Licence 200001011 (NC)

Record details

NPI number1740212901
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESJuly 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Also practisesENDOCRINOLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 1997 (29 years in practice)
Group practice Atrium Health Childrens Specialty Network Inc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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