DOROTHY VAUGHN VINCENT (NPI# 1568580306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568580306 |
| Entity Type | Individual |
| Full Name | DOROTHY VAUGHN VINCENT |
| Credential | M.D. |
| Practice Address |
1429 E Marion St Suite 5 Shelby NC 28150-4986 |
| Practice Telephone | 7044805440 |
| Practice Fax Number | 7044805477 |
| Mailing Telephone | 7044805440 |
| Mailing Fax Number | 7044805477 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89128N5 | 05 | |
| NC | BCBS | 128N5 | 01 |
| Street Address |
1429 E MARION ST SUITE 5 |
| City | SHELBY |
| State | NC |
| Zip Code | 28150-4986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679798029 | State of Nc Division of Health Services | Clinic/Center | 1429 E Marion St, Suite 5, Shelby, NC 28150-4986 | 2007-04-13 |
| 1942320296 | Nathalie Martine Prunet | Physical Therapist | 1429 E Marion St, Suite 5, Shelby, NC 28150-4986 | 2007-03-30 |
| 1801916697 | Kimberly Jones Maner | Speech-Language Pathologist | 1429 E Marion St, Ste. 5, Shelby, NC 28150-4986 | 2007-03-29 |
| 1457470056 | Elaine D. Kistler | Psychologist | 1429 E Marion St, Ste 5, Shelby, NC 28150-4986 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154981652 | Benjamin Caple | Dentist | 139 W Ross Grove Rd, Shelby, NC 28150 | 2019-06-17 |
| 1003471103 | Anne Marie Lackey | Physician Assistant | 215 Stacey Street, Lawndale, NC 28150 | 2019-05-03 |
| 1174001937 | Allstate Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 607 W Grover St, Shelby, NC 28150 | 2018-08-03 |
| 1013494970 | Shannon Bumgardner Standish | Nurse Practitioner | 1019 N Lafayette Street, Suite 1, Shelby, NC 28150 | 2018-07-24 |
| 1205323078 | Focused Care, Inc | Community/Behavioral Health | 834 Churchill Dr, Shelby, NC 28150 | 2018-04-17 |
| 1508373507 | Janelle Marie Velasco | Acupuncturist | 115 E Sumter St, Shelby, NC 28150 | 2017-12-29 |
| 1902344666 | Georgette Johnson | Durable Medical Equipment & Medical Supplies | 607 West Grover Street, Shelby, NC 28150 | 2017-02-02 |
| 1457703126 | Sweet Caroline Assisted Living LLC | Assisted Living Facility | 110 Greene Drive, Shelby, NC 28150 | 2016-07-06 |
| 1972954113 | Self Determination, LLC | Community Based Residential Treatment Facility, Mental Illness | 423 Millsap Rd, Shelby, NC 28150 | 2016-06-29 |
| 1306217666 | Living Family Supportive Services | Clinic/Center | 2538 West Dixon Blvd., Shelby, NC 28150 | 2015-10-13 |
| Find all providers in zip 28150 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871114470 | Kidzcare Pediatrics, PC | Pediatrics | 327 W College Ave, Shelby, NC 28152-8111 | 2020-05-05 |
| 1174670137 | Richard Morgan Bowles | Pediatrics | 908 Elizabeth Rd, Shelby, NC 28150-4725 | 2007-01-04 |
| 1801962246 | Andrea Simmons Rice | Pediatrics | 305 West College Ave, Ste C, Shelby, NC 28152-0696 | 2006-11-28 |
| 1952337289 | Shelby Children's Clinic | Pediatrics | 709 N Dekalb St, Shelby, NC 28150-3911 | 2006-06-26 |
| 1730167883 | Michael James Grossell | Pediatrics | 305 W College Ave, Suite A, Shelby, NC 28152-8111 | 2006-01-07 |
| 1285973677 | Julissa Garrido De Joyce | Pediatrics | 709 N Dekalb St, Shelby, NC 28150-3911 | 2013-02-05 |
| 1376809608 | Morkor Newman | Pediatrics | 709 N Dekalb St, Shelby, NC 28150-3911 | 2012-04-11 |
| 1033409156 | Elaine Porter | Pediatrics | 709 N Dekalb St, Shelby, NC 28150-3911 | 2011-04-10 |
| 1407172091 | Boiling Springs Pediatric & Family Medicine | Pediatrics | 305 W College Ave, A, Shelby, NC 28152-8111 | 2010-04-08 |
| 1578683611 | Shetul Patel | Pediatrics | 709 N Dekalb St, Shelby, NC 28150-3911 | 2007-03-30 |
| Find all providers in SHELBY | ||||
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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.