Donald Henry Vliegenthart, M.D.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

ME36928 Issued in FL

Practice address

709 S. Harbor City Boulevard
Suite 100
Melbourne, FL 32901-1936

Phone

(321) 725-2225

Fax

(321) 308-0635

NPI assigned

Jan 5, 2007

Last updated

Jun 16, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic SurgeryAlso: Pain Management, Sports Medicine

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Restore Spine LLCGroup PAC ID 6406271246, 6 clinicians

Total Spine and WellnessGroup PAC ID 9931516804, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• FL HMO
• AL HMO D-SNP
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• FL HMO D-SNP
• AL HMO
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• FL PPO
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
• FL HMO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Total Spine & Wellness

  dba Total Spine & Orthopedics

  • Clinic/Center
  • Melbourne, FL
  • NPI 1851907828
  Medicare reassignment Care Compare group NPD
• Restore Spine LLC

  • Orthopaedic Surgery of the Spine Physician
  • Melbourne, FL
  • NPI 1952925547
  Medicare reassignment Care Compare group
• First Choice Medical Group of Brevard LLC

  dba First Choice Medical Group

  • Orthopaedic Surgery Physician
  • Merritt Island, FL
  • NPI 1578846564
  Medicare reassignment NPD
• Charles S. Theofilos MD PA

  dba The Spine Center

  • Neurological Surgery Physician
  • Palm Beach Gardens, FL
  • NPI 1841242823
  NPD (past)
• Gary M. Weiss, M.D., P.a.

  dba Weiss & Newberry Medical Associates

  • Specialist
  • Palm Bay, FL
  • NPI 1003922618
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1003964222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S. HARBOR CITY BOULEVARD",
            "address_2": "SUITE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011936",
            "telephone_number": "321-725-2225",
            "fax_number": "321-308-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 S. HARBOR CITY BOULEVARD",
            "address_2": "SUITE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011936",
            "telephone_number": "321-725-2225",
            "fax_number": "321-308-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLIEGENTHART",
        "first_name": "DONALD",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME36928",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME36928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "26612",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vista Counseling and Wellness
• Vitas Healthcare Corporation of Florida
• Vitas Healthcare Corporation of Florida (Brevard Palliative Care)
• Jose Viteri
• Kailyn D Vitry, PTA
• Vmorel Health Services LLC (Renaissance Health Services)
• Kathi Voege Harvey, FNP
• Li Jin Voepel, MD
• Sidney Vogt
• Varun Vohra, PHARM.D.

• Orthopaedic Surgery of the Spine Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Orthopaedic Surgery of the Spine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.