VP MEDICAL, LLC (NPI# 1659526689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659526689 |
| Entity Type | Organization |
| Organization Name | VP MEDICAL, LLC |
| Practice Address |
3308 W Edgewood Dr Ste D Jefferson City MO 65109-6891 |
| Practice Telephone | 5736320010 |
| Practice Fax Number | 5736322449 |
| Mailing Telephone | 5736320010 |
| Mailing Fax Number | 5736322449 |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2012-02-09 |
| Authorized Official Name | JULIE A. PAYNE (CERTIFIED BILLING & CODING SPECIALI) |
| Authorized Official Telephone | 5736320010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MO | Allopathic & Osteopathic Physicians |
| Street Address |
3308 W EDGEWOOD DR STE D |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-6891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619375300 | Curt Milton Vogel II | Surgery | 3707 Woodridge Ct, Columbia, MO 65201-6532 | 2014-12-11 |
| 1376801548 | Matthew Raymond Abate | Surgery | 10012 Kennerly Rd Ste 305, Saint Louis, MO 63128-2197 | 2012-04-25 |
| 1366771446 | Daniel E. Cox, M.d., LLC | Surgery | 1400 Hwy. 61 South, Suite 240, Festus, MO 63028 | 2009-12-18 |
| 1508053026 | Noks Corporation PC | Surgery | 1147b E Gannon Dr, Festus, MO 63028-2611 | 2007-09-28 |
| 1275753923 | George Fraklin Rendleman Jr. | Surgery | 12723 Topping Acres, St Louis, MO 63131 | 2007-04-26 |
| 1346467420 | Marcus A. Barber | Surgery | 2750 Clay Edwards Dr Ste 304, Kansas City, MO 64116-3256 | 2007-04-19 |
| 1841367380 | Kent James Blanke | Surgery | 1408 Crown Drive, Kirksville, MO 63501 | 2006-11-29 |
| 1801974787 | Edwin Tutt Long | Surgery | 4550 Warwick Blvd, Ste # 1209, Kansas City, MO 64111-7725 | 2006-11-01 |
| 1518992429 | Ayaz A Malik | Surgery | 1035 Bellevue Ave Ste 212, Saint Louis, MO 63117-1846 | 2006-07-11 |
| 1942234331 | Gordon C Knight | Surgery | 4800 Mexico Rd Ste 103, Saint Peters, MO 63376-1666 | 2006-07-10 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
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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.