DAVID E VICKERY (NPI# 1790707867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790707867 |
| Entity Type | Individual |
| Full Name | DAVID E VICKERY |
| Credential | MD |
| Practice Address |
12130 E Washington St Suite A Cumberland IN 46229-2955 |
| Mailing Address |
6626 E 75th St Suite 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 3173557752 |
| Practice Fax Number | 3173557750 |
| Mailing Telephone | 3173552184 |
| Mailing Fax Number | 3173557750 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01030402A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100127590 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679789861 | David Augustus Vickery | Family Medicine | 15 Yorkshire St, Suite 201, Asheville, NC 28803-7783 | 2007-05-15 |
| Street Address |
12130 E WASHINGTON ST SUITE A |
| City | CUMBERLAND |
| State | IN |
| Zip Code | 46229-2955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487150124 | Patrice R. Mosley | Registered Nurse | 9385 E Washington St, Indianapolis, IN 46229 | 2018-04-02 |
| 1013424621 | Latasha Fisher | Registered Nurse | 9822 Fulbrook Dr, Indianapolis, IN 46229 | 2018-01-04 |
| 1417324856 | Ourhealth Physicians Group, LLC | Clinic/Center | 9934 E Washington Street, Indianapolis, IN 46229 | 2015-09-01 |
| 1134479470 | Loving Hands Senior Care and Relocation | In Home Supportive Care | 9702 E Washington Ste 400 Pmd 185, Indianapolis, IN 46229 | 2012-09-13 |
| 1902155815 | Planned Parenthood of Indiana Eastside | Clinic/Center | 9385 E. Washington St., Indianapolis, IN 46229 | 2012-09-06 |
| 1407092497 | Amy Katherine Graham | Chiropractor | 11020 E 10th St Ste B, Indianapolis, IN 46229 | 2008-12-23 |
| 1043408610 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 9630 Washington Street, Indianapolis, IN 46229 | 2007-10-09 |
| 1487867024 | Holli A H Bowser | Dietitian, Registered | 9660 E Washington St, Indianapolis, IN 46229 | 2007-05-08 |
| 1336361708 | Dental Professionals of Indiana, P.C. | Dentist | 986 North Mitthoeffer, Indianapolis, IN 46229 | 2007-05-03 |
| 1386865558 | Gary Lee Bacon | Dentist | 316 Washington Pointe Drive, Indianapolis, IN 46229 | 2007-05-02 |
| Find all providers in zip 46229 | ||||
| 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 |
|---|---|---|---|---|
| 1245676733 | Cumberland Valley Family Medicine LLC | Family Medicine | 30a N Mechanic St, Cumberland, MD 21502-2314 | 2013-05-11 |
| 1053443978 | Donn R Quinn | Family Medicine | 2130 Mendon Rd, Suite 3-333, Cumberland, RI 02864-3844 | 2007-03-09 |
| 1740317890 | Donald Frederick Manger | Family Medicine | 11600 Bedford Rd Ne, Cumberland, MD 21502-6805 | 2007-02-27 |
| 1346394616 | Jennifer Souther Md Inc | Family Medicine | 30 Martin St, Unit 30a, Cumberland, RI 02864-5321 | 2007-01-23 |
| 1619072626 | David Bryce Brown | Family Medicine | 1758 Anderson Hwy, Central Southside Professionals LLC, Cumberland, VA 23040-2524 | 2006-09-14 |
| 1518074889 | Owen Regan | Family Medicine | 12502 Willowbrook Rd Ste 550, Cumberland, MD 21502-6594 | 2006-08-24 |
| 1184635880 | James R Moen | Family Medicine | 1068 National Highway Rear, Cumberland, MD 21502-7501 | 2006-08-10 |
| 1124046032 | Community Hospitals of Indiana Inc | Family Medicine | 11890 E Welland St, Cumberland, IN 46229-2964 | 2006-07-18 |
| 1386607851 | Terry E Williams LLC | Family Medicine | 500 Memorial Avenue, Suite 301, Cumberland, MD 21502 | 2006-04-07 |
| 1184690299 | Gina Gerardine La Prova | Family Medicine | 2140 Mendon Rd, Cumberland, RI 02864-3843 | 2006-02-28 |
| Find all providers in CUMBERLAND | ||||
| City | CUMBERLAND |
| Zip Code | 46229 |
Please comment or provide details below to improve the information on DAVID E VICKERY.
| 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.