DOUGLAS E VICK (NPI# 1326261892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326261892 |
| Entity Type | Individual |
| Full Name | DOUGLAS E VICK |
| Credential | DO |
| Practice Address |
208 Crossfield Dr Versailles KY 40383-1468 |
| Practice Telephone | 8598738044 |
| Practice Fax Number | 8598738045 |
| Mailing Telephone | 8598738044 |
| Mailing Fax Number | 8598738045 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2012-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 02382 | KY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043385123 | Douglas T. Vick | Physician Assistant | 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 | 2006-11-22 |
| Street Address |
208 CROSSFIELD DR |
| City | VERSAILLES |
| State | KY |
| Zip Code | 40383-1468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982875050 | Douglas E. Vick, Do M. Tamarin Vick, Do | Family Medicine | 208 Crossfield Dr, Versailles, KY 40383-1468 | 2008-03-17 |
| 1659596112 | Mary Tamarin Vick | General Practice | 208 Crossfield Dr, Versailles, KY 40383-1468 | 2007-04-17 |
| 1609099100 | Daniel Bailey Moore | Neuromusculoskeletal Medicine & OMM | 208 Crossfield Dr, Versailles, KY 40383-1468 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184037798 | The Nile Ministries Inc | Substance Abuse Rehabilitation Facility | 4185 Lexington Road, Versailles, KY 40383 | 2014-06-11 |
| 1710259932 | Jessica Marie Rucker | Massage Therapist | 260 Crossfield Dr., Unit 2, Versailles, KY 40383 | 2012-02-03 |
| 1154657724 | Steps Ahead, Inc. | Case Manager/Care Coordinator | 500 Limestone Trce, Versailles, KY 40383 | 2009-11-02 |
| 1831393297 | Mary J Watts | Dentist | 230 Frankfort St, Ste 5, Versailles, KY 40383 | 2007-06-12 |
| 1447372263 | Harry M Watts | Dentist | 210 Crossfield Dr, Versailles, KY 40383 | 2007-04-04 |
| 1699824714 | Paula L Everhart | Social Worker | 163 Spring Run St, Versailles, KY 40383 | 2007-01-09 |
| 1457419665 | Henry M West | Family Medicine | 290 Lexington St, Versailles, KY 40383 | 2006-12-04 |
| 1588774202 | Eric L Quillen | Dentist | 156 Frankfort Street, Versailles, KY 40383 | 2006-08-30 |
| 1386677599 | Woodford Physical Therapy, Psc | Physical Therapist | 115 C Crossfield Dr., Versailles, KY 40383 | 2006-07-09 |
| 1003845751 | Woodford County | Ambulance | 86 Big Sink Rd, Versailles, KY 40383 | 2006-07-02 |
| Find all providers in zip 40383 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407070816 | Jerri Dawn Robertson | Neuromusculoskeletal Medicine & OMM | 901 Kidwell Dr, Versailles, MO 65084-1784 | 2007-04-13 |
| 1609099100 | Daniel Bailey Moore | Neuromusculoskeletal Medicine & OMM | 208 Crossfield Dr, Versailles, KY 40383-1468 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477900629 | Musculoskeletal Associates Pllc | Neuromusculoskeletal Medicine & OMM | 3010 Eastpoint Pkwy, Louisville, KY 40223-4185 | 2016-05-18 |
| 1417243999 | Mark Conliffe | Neuromusculoskeletal Medicine & OMM | 241 Sears Ave, Ste 3, Louisville, KY 40207-5066 | 2011-06-23 |
| 1952452583 | Amir Zia | Neuromusculoskeletal Medicine & OMM | 523 Park St, Bowling Green, KY 42101-1765 | 2007-01-12 |
| 1215910906 | John Y. Barbee Jr. | Neuromusculoskeletal Medicine & OMM | 7520 Highgrove Road, Bloomfield, KY 40008-0507 | 2005-11-28 |
| 1215919451 | Jerome Anthony Dixon | Neuromusculoskeletal Medicine & OMM | 150 W Bear Track Rd, Campbellsville, KY 42718-8709 | 2005-11-15 |
| 1063862506 | Kentucky Blue Medical LLC | Neuromusculoskeletal Medicine & OMM | 4602 Southern Pkwy Ste 1a, Louisville, KY 40214-1442 | 2016-06-15 |
| 1891197273 | Ryan Freibert | Neuromusculoskeletal Medicine & OMM | 405 Violet Rd, Crittenden, KY 41030-8956 | 2014-09-17 |
| 1245559632 | Antoinette Justice | Neuromusculoskeletal Medicine & OMM | 184 S Mayo Trl, Pikeville, KY 41501-1518 | 2010-05-25 |
| 1649318221 | Edward G. Stiles | Neuromusculoskeletal Medicine & OMM | 184 S Mayo Trl, Pikeville, KY 41501-1518 | 2007-02-03 |
| 1497806905 | Bluegrass Sports Medicine Pllc | Neuromusculoskeletal Medicine & OMM | 3920 Dutchmans Ln, Suite 314, Louisville, KY 40207-4702 | 2007-01-13 |
| Find all providers with the same taxonomy | ||||
| City | VERSAILLES |
| Zip Code | 40383 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.