DR. BRIAN KEITH VICKARYOUS (NPI# 1902805575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902805575 |
Entity Type | Individual |
Full Name | DR. BRIAN KEITH VICKARYOUS |
Credential | MD |
Practice Address |
2501 N Orange Ave Suite 340 Orlando FL 32804-4603 |
Mailing Address |
3330 Lakeview Oaks Dr Longwood FL 32779-3155 |
Practice Telephone | 4078958890 |
Practice Fax Number | 4078953608 |
Mailing Telephone | 4078048036 |
Mailing Fax Number | 4078953608 |
Enumeration Date | 2005-07-18 |
Last Update Date | 2013-09-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
55351 | GA | Allopathic & Osteopathic Physicians |
Street Address |
2501 N ORANGE AVE SUITE 340 |
City | ORLANDO |
State | FL |
Zip Code | 32804-4603 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891791505 | Steven David Spector | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 N Orange Ave, Suite 308, Orlando, FL 32804-4603 | 2005-06-27 |
1942824032 | Matthew Walker | Physician Assistant | 2501 N Orange Ave, Orlando, FL 32804-4603 | 2020-06-03 |
1609438050 | Ahmad Eyad Nihad Almusa | Student in an Organized Health Care Education/Training Program | 2501 N Orange Ave, Orlando, FL 32804-4603 | 2019-07-06 |
1619430790 | Daniel Kitner | Student in an Organized Health Care Education/Training Program | 2501 N Orange Ave, Orlando, FL 32804-4603 | 2019-04-07 |
1841750718 | Soheil Peiman | Student in an Organized Health Care Education/Training Program | 2501 N Orange Ave, Orlando, FL 32804-4603 | 2019-03-25 |
1194214502 | Naumaan Javed Hafeez | Student in an Organized Health Care Education/Training Program | 2501 N Orange Ave, Orlando, FL 32804-4603 | 2018-05-02 |
1447747084 | Alberto Juan Monreal | Student in an Organized Health Care Education/Training Program | 2501 N Orange Ave, Orlando, FL 32804-4603 | 2018-04-19 |
1841797065 | Bhumi Jayantibhai Patel | Student in an Organized Health Care Education/Training Program | 2501 N Orange Ave, Orlando, FL 32804-4603 | 2018-04-13 |
1568967149 | Ruoyu Miao | Student in an Organized Health Care Education/Training Program | 2501 N Orange Ave, Orlando, FL 32804-4603 | 2018-03-27 |
1750891271 | Kristen G Girard | Nurse Practitioner | 2501 N Orange Ave, Orlando, FL 32804-4603 | 2017-10-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881252716 | Alyssa Bass | Counselor | 3130 Edgewater Dr, Orlando, FL 32804 | 2019-06-05 |
1841856366 | Debora Cheryl Ramirez | Technician/Technologist | 1231 North Orange Ave, Orlando, FL 32804 | 2019-05-10 |
1679074009 | Jessica Dobbs | Counselor | 3801 Grant Blvd, Orlando, FL 32804 | 2018-02-21 |
1881109031 | Pedro Mendez Jr. | Counselor | 1800 W. Colonial Drive, Orlando, FL 32804 | 2017-12-11 |
1902259310 | Michael Lo | Nurse Practitioner | 2400 N Orange Ave Ste 302, Orlando, FL 32804 | 2016-07-20 |
1083093595 | Michael Gregg | Student in an Organized Health Care Education/Training Program | 2415 North Orange Avenue, Suite 400, Orlando, FL 32804 | 2015-05-29 |
1922485473 | Lindsay Rae Piet | Physician Assistant | 1910 N. Orange Ave., Orlando, FL 32804 | 2015-05-05 |
1093106189 | College Park Community Acupuncture & Herbal Medicine | Acupuncturist | 710 W. Princeton Street., Suite A, Orlando, FL 32804 | 2015-02-10 |
1164822359 | Orlando Sleep Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2921 N. Orange Ave, Orlando, FL 32804 | 2014-08-26 |
1780926741 | Joseph Arturo Reza | Student in an Organized Health Care Education/Training Program | 2415 N Orange Ave #400, Orlando, FL 32804 | 2013-03-17 |
Find all providers in zip 32804 |
Taxonomy Code | 207XX0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Sports Medicine |
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063483980 | Jeffrey Peter Rosen | Orthopaedic Surgery | 25 W Crystal Lake St, Suite 200, Orlando, FL 32806-4475 | 2006-01-30 |
1699944017 | Daryl Christopher Osbahr | Orthopaedic Surgery | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2008-02-29 |
1073629234 | Thomas F Winters Jr. | Orthopaedic Surgery | 1405 S Orange Ave Ste 601, Orlando, FL 32806 | 2006-08-21 |
1225144488 | Thomas F Winters Jr Md Pa | Orthopaedic Surgery | 1405 S Orange Ave Ste 601, Orlando, FL 32806 | 2006-08-21 |
1881613081 | Bryan Lee Reuss | Orthopaedic Surgery | 25 W Crystal Lake St, Suite 200, Orlando, FL 32806-4475 | 2006-07-19 |
1316918246 | Samuel Smith Blick | Orthopaedic Surgery | 25 W Crystal Lake St, Suite 200, Orlando, FL 32806-4475 | 2006-01-30 |
1366413213 | Randy S Schwartzberg | Orthopaedic Surgery | 25 W Crystal Lake St, Suite 200, Orlando, FL 32806-4475 | 2006-01-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801401021 | Ortho Florida, LLC | Orthopaedic Surgery | 17425 7th St Ste 560174, Montverde, FL 34756-3206 | 2020-09-14 |
1801429022 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Creek Rd Ste 202, Ft Lauderdale, FL 33309-1858 | 2020-02-17 |
1750913141 | Tyrance Orthopedics and Sports Medicine | Orthopaedic Surgery | 1620 S Congress Ave Ste 201, Palm Springs, FL 33461-2128 | 2020-02-04 |
1255979076 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Crk Rd Ste 202, Fort Lauderdale, FL 33309-1858 | 2019-12-11 |
1730740218 | Baptist Physician Group LLC | Orthopaedic Surgery | 133 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1644 | 2019-06-25 |
1164984720 | Ortho Florida, LLC | Orthopaedic Surgery | 21097 Ne 27th Ct Ste 590, Aventura, FL 33180-1246 | 2019-04-03 |
1578043998 | Bahri Orthopedics Institute | Orthopaedic Surgery | 6100 Kennerly Rd Ste 202, Jacksonville, FL 32216-4379 | 2018-08-15 |
1154834489 | Dorothy Richardson | Orthopaedic Surgery | 1120 W Lakeshore Dr, Clermont, FL 34711-2936 | 2017-11-08 |
1225541790 | Ortho Florida, LLC | Orthopaedic Surgery | 3702 Washington St Ste 202, Hollywood, FL 33021-8283 | 2017-11-07 |
1275046831 | Galaxy Wellness Sport and Rehabilitation Center LLC | Orthopaedic Surgery | 1951 Nw 7th St, Miami, FL 33125 | 2017-11-06 |
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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.