Organization Active NPI

George W. Vick II M.D. P.C.

  • Obstetrics & Gynecology Physician
  • Knoxville, TN
National Provider Identifier
1003014507
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD0000014697 Issued in TN
Legal business name
GEORGE W. VICK II M.D. P.C.
Practice address
817 E Oldham Ave
Knoxville, TN 37917-5568
Phone
(865) 522-2229
Fax
(865) 546-8355
NPI assigned
Jul 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
George Wilson Vick II, M.D.NPI 1730150293
Title
Owner
Phone
(865) 522-2229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MD0000014697 TN Primary

Addresses

Primary practice location

817 E Oldham Ave
Knoxville, TN 37917-5568

Mailing address

817 E Oldham Ave
Knoxville, TN 37917-5568
Phone (865) 522-2229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080822000286 TN Part B Supplier - Clinic/Group Practice 4486745312 Receives reassigned benefits from 2 practitioners
Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory

Locations

501 19th St
Ste 304
Knoxville, TN 37916
Phone (865) 522-2229

817 E Oldham Ave
Knoxville, TN 37917
Phone (865) 522-2229

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1003014507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 E OLDHAM AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379175568",
            "telephone_number": "865-522-2229",
            "fax_number": "865-546-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 E OLDHAM AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379175568",
            "telephone_number": "865-522-2229",
            "fax_number": "865-546-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE W. VICK II M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "VICK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-522-2229",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD0000014697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.