DR. BRIAN KEITH VICKARYOUS


Address: 2501 N Orange Ave, Suite 340, Orlando, FL 32804-4603
Phone: 4078958890

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
55351 GA Allopathic & Osteopathic Physicians

Office Location

Street Address 2501 N ORANGE AVE
SUITE 340
City ORLANDO
State FL
Zip Code 32804-4603

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City ORLANDO
Zip Code 32804

Improve Information

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Dataset Information

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.

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