GARY A VICKERS (NPI# 1902867633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902867633 |
| Entity Type | Individual |
| Full Name | GARY A VICKERS |
| Credential | DO |
| Practice Address |
3555 Sunset Office Dr Suite C 100 Saint Louis MO 63127-1015 |
| Mailing Address |
1551 Wall St Suite 310 Saint Charles MO 63303-3539 |
| Practice Telephone | 3142389100 |
| Practice Fax Number | 3142389110 |
| Mailing Telephone | 6366692268 |
| Mailing Fax Number | 3142098127 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2014-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 108736 | MO | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 108736 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1902867633 | 05 | |
| MO | 1902867633 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912986266 | Gary Wilbur Vickers | Optometrist | 3301 Mount Shasta Way, Louisville, KY 40241-6213 | 2006-01-14 |
| Street Address |
3555 SUNSET OFFICE DR SUITE C 100 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63127-1015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306358288 | Katie Ledbetter | Nurse Practitioner | 3555 Sunset Office Dr, Saint Louis, MO 63127-1015 | 2017-10-31 |
| 1780121830 | Daniel Jacobsen | Nurse Practitioner | 3555 Sunset Office Dr, Ste. C102, Saint Louis, MO 63127-1015 | 2017-01-27 |
| 1053690404 | Pain Management Partners LLC | Clinic/Center | 3555 Sunset Office Dr, Suite C110, Saint Louis, MO 63127-1015 | 2011-08-16 |
| 1861704108 | Matthew Sean Spinks | General Practice | 3555 Sunset Office Dr, Ste. C-102, Saint Louis, MO 63127-1015 | 2010-07-01 |
| 1588844542 | Alejandra D. Alvarez Wilson | Obstetrics & Gynecology | 3555 Sunset Office Dr, Suite 107, Saint Louis, MO 63127-1015 | 2007-11-07 |
| 1215134465 | Emily Margaret Price Brown | Dentist | 3555 Sunset Office Dr, Suite 210, Saint Louis, MO 63127-1015 | 2007-06-29 |
| 1164623963 | William B Albair | Dentist | 3555 Sunset Office Dr, Suite C-105, Saint Louis, MO 63127-1015 | 2007-05-30 |
| 1255549754 | James Anthony Bruno | Dentist | 3555 Sunset Office Dr, Suite 208, Saint Louis, MO 63127-1015 | 2007-05-18 |
| 1174746564 | George V Duello | Dentist | 3555 Sunset Office Dr, Suite C105, Saint Louis, MO 63127-1015 | 2007-04-11 |
| 1568594232 | Missouri Spine Care, LLC | Chiropractor | 3555 Sunset Office Dr, Suite C110, Saint Louis, MO 63127-1015 | 2007-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730698374 | Advanced Surgical Center of Sunset Hills LLC | Clinic/Center | 4594 S Lindbergh Blvd, Saint Louis, MO 63127 | 2017-09-27 |
| 1811382179 | Robert Paul Hintze | Dentist | 3555 Sunset Office Dr Ste 210, Saint Louis, MO 63127 | 2015-04-03 |
| 1639560782 | Bwell Pharmacy LLC | Pharmacy | 12128 Gravois Road, St.louis, MO 63127 | 2015-02-11 |
| 1043612773 | Braham Dev Dewan | Internal Medicine | 9917 Grandview Forest Court, Saint Louis, MO 63127 | 2014-09-25 |
| 1639518673 | Jonathan Yoon | Otolaryngology | 9701 Landmark Parkway Dr Ste 201, Saint Louis, MO 63127 | 2013-06-24 |
| 1639515315 | Kathleen Mary Lowe | Internal Medicine | 3844 S Lindbergh Blvd Ste 120, Saint Louis, MO 63127 | 2013-05-21 |
| 1366782088 | Sunset Hills Family Chiropractic LLC | Clinic/Center | 4600 South Lindbergh Ave, Suite 3, St. Louis, MO 63127 | 2013-02-15 |
| 1063743300 | John Ralph Firth | Dentist | 3890 So. Lindbergh Blvd., Suite 115, Sunset Hills, MO 63127 | 2010-01-27 |
| 1174762850 | Antonio I Longrais | Dentist | 4600 S. Lindbeigh 63127, St. Louis, MO 63127 | 2009-02-19 |
| 1447439716 | George D Bankhead Dds Ms PC | Dentist | 3890 S Lindbergh Blvd, Suite 115, Sunset Hills, MO 63127 | 2007-11-02 |
| Find all providers in zip 63127 | ||||
| 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 |
|---|---|---|---|---|
| 1356986541 | Pain Relief Center of St Louis LLC | Family Medicine | 1115 Olivette Executive Pkwy, Saint Louis, MO 63132-3259 | 2019-11-12 |
| 1720635329 | Mercy Clinic East Communities | Family Medicine | 10004 Kennerly Rd Ste 395b, Saint Louis, MO 63128-2190 | 2019-08-20 |
| 1063066777 | Isabella Citizens for Health, Inc. | Family Medicine | 312 Union St, Saint Louis, MI 48880-1830 | 2019-07-31 |
| 1043864010 | Isabella Citizens for Health, Inc. | Family Medicine | 113 E Saginaw St, Saint Louis, MI 48880-1755 | 2019-07-29 |
| 1558896969 | Shivani Sockanathan | Family Medicine | 969 N Mason Rd Ste 145a, Saint Louis, MO 63141-6282 | 2017-04-23 |
| 1598299646 | Kharole Compere | Family Medicine | 175 N Oaks Plz, Saint Louis, MO 63121-2925 | 2017-04-16 |
| 1396109880 | Ritesh Gandhi | Family Medicine | 7345 Watson Rd Ste 203, Saint Louis, MO 63119 | 2016-04-11 |
| 1144608035 | Daniel Urcuyo | Family Medicine | 4625 Lindell Blvd Ste 338, Saint Louis, MO 63108 | 2015-05-11 |
| 1376958728 | Jamil Neme | Family Medicine | 3660 Vista Ave Ste 103, Saint Louis, MO 63110-2540 | 2014-06-24 |
| 1144633819 | Perini Shah | Family Medicine | 12700 Southfork Rd Ste 215, Saint Louis, MO 63128-3276 | 2014-06-10 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63127 |
Please comment or provide details below to improve the information on GARY A VICKERS.
| 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.