MARK N VINZANT (NPI# 1659319481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659319481 |
Entity Type | Individual |
Full Name | MARK N VINZANT |
Credential | M.D. |
Practice Address |
1410 N Woodlawn Blvd Suite A Derby KS 67037-2922 |
Practice Telephone | 3167883741 |
Practice Fax Number | 3167885198 |
Mailing Telephone | 3167883741 |
Mailing Fax Number | 3167885198 |
Enumeration Date | 2006-06-03 |
Last Update Date | 2008-06-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 0417161 | KS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | BC/BS | 006432 | 01 |
Street Address |
1410 N WOODLAWN BLVD SUITE A |
City | DERBY |
State | KS |
Zip Code | 67037-2922 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932637725 | Miranda Larae Vancil | Nurse Practitioner | 1410 N Woodlawn Blvd, Derby, KS 67037-2953 | 2017-05-24 |
1407237381 | Kansas Medical Center, LLC | Family Medicine | 1410 N Woodlawn Blvd, Derby, KS 67037-2953 | 2015-06-16 |
1629485297 | Abby Siler | Physical Therapist | 1410 N Woodlawn Blvd, Ste E, Derby, KS 67037-2953 | 2014-07-16 |
1336580406 | Luke Gregory Lawrence Records | Family Medicine | 1410 N Woodlawn Blvd, Derby, KS 67037-2953 | 2013-07-17 |
1376672279 | Julie Olmstead | Occupational Therapist | 1410 N Woodlawn Blvd, Suite E, Derby, KS 67037-2922 | 2007-03-05 |
1740318294 | Marsha Younger | Physical Therapy Assistant | 1410 N Woodlawn Blvd, Suite E, Derby, KS 67037-2922 | 2007-02-28 |
1962558395 | Family Health Center | Specialist | 1410 N Woodlawn Blvd, Suite A, Derby, KS 67037-2922 | 2007-01-26 |
1225141336 | Johnny Allen Barker | Nurse Practitioner | 1410 N Woodlawn Blvd, Suite A, Derby, KS 67037-2922 | 2006-08-16 |
1669484200 | Jeffrey R Battiste | Physical Therapist | 1410 N Woodlawn Blvd, Suite E, Derby, KS 67037-2953 | 2006-08-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114409182 | Lori Renee Young | Counselor | 1144 N. Buckner, Derby, KS 67037 | 2018-09-05 |
1295227585 | James Todd Hawkins | Social Worker | 918 E Wedgewood Dr., Derby, KS 67037 | 2018-06-01 |
1518454842 | Rock Regional Hospital, LLC | General Acute Care Hospital | 3251 Rock Road, Derby, KS 67037 | 2018-04-23 |
1093161325 | Inspired Care LLC | In Home Supportive Care | 1400 E Warren Ave, Derby, KS 67037 | 2016-05-05 |
1083095970 | Emily O'dell | Family Medicine | 1640 E Tall Tree Rd, Derby, KS 67037 | 2015-06-16 |
1700264017 | Grant Snider Dds, LLC | Dentist | 2701 North Rock Road, Suite 600, Derby, KS 67037 | 2015-05-07 |
1629472691 | Anaidy Claudio | Social Worker | 265 W Village Lake Dr, Derby, KS 67037 | 2014-10-20 |
1396094470 | Derby Assisted Living, LLC | Assisted Living Facility | 719 N. Klein Circle, Derby, KS 67037 | 2012-09-05 |
1700104635 | Cynthia D Holcomb | Social Worker | 1721 E. Osage, Suite 300, Derby, KS 67037 | 2010-05-17 |
1295066215 | Traci Lynn Borland | Occupational Therapist | 731 Klein Circle, Derby, KS 67037 | 2010-01-15 |
Find all providers in zip 67037 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083095970 | Emily O'dell | Family Medicine | 1640 E Tall Tree Rd, Derby, KS 67037 | 2015-06-16 |
1477887560 | Henna M Patel | Family Medicine | 7060 Erie Rd Suite 100, Derby, NY 14047 | 2009-09-23 |
1093888463 | Paul J Caro Md | Family Medicine | 7008 Erie Rd Rte 5, Suite A, Derby, NY 14047 | 2006-11-15 |
1114949179 | Constantine Paul Panakos | Family Medicine | 606 N Mulberry Rd, Tanglewood Medical Center, Pa, Derby, KS 67037-3532 | 2006-07-25 |
1144259664 | C Gordon Harrod | Family Medicine | 1720 Osage Rd, Derby, KS 67037-2090 | 2006-06-30 |
1629033519 | Gregory Thomas Bongers | Family Medicine | 1101 N Rock Rd, Derby, KS 67037-3705 | 2006-04-20 |
1851399000 | Paul John Caro | Family Medicine | 6970 Erie Road Route 5, Suite A, Derby, NY 14047-9592 | 2005-07-12 |
1114921947 | Morris M Cavalieri | Family Medicine | 7020 Erie Rd, Derby, NY 14047-9306 | 2005-06-09 |
1891799656 | Tariq A Sheikh | Family Medicine | 7060 Erie Rd, Suite 100, Derby, NY 14047-9430 | 2005-06-09 |
1346773082 | Ryan Alexander | Family Medicine | 130 Division St, Derby, CT 06418-1326 | 2017-04-10 |
Find all providers in DERBY |
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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.