Vladimir J Vlcko, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS3896 Issued in FL

Practice address

2860 N. Prestwick Way
Lecanto, FL. 34461
Lecanto, FL 34461

Phone

(352) 220-1218

Fax

(352) 249-4494

NPI assigned

Nov 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EHGIAD

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

• Mar Primary Care LLC

  • Internal Medicine Physician
  • Inverness, FL
  • NPI 1659049732
  NPD
• Citrus Cardiology Consultants, PLLC

  • Cardiovascular Disease Physician
  • Inverness, FL
  • NPI 1669405379
  NPD (past)
• Citrus Cardiology Consultants, PLLC

  • Cardiac Rehabilitation Clinic/Center
  • Lecanto, FL
  • NPI 1851241913
  NPD (past)
• Brent Blue MD

  • Family Medicine Physician
  • Driggs, ID
  • NPI 1356556518
  NPD (past)
• Grand Teton Medical Clinic

  • Urgent Care Clinic/Center
  • Moran, WY
  • NPI 1891997151
  NPD (past)

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1033192554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 N. PRESTWICK WAY",
            "address_2": "LECANTO, FL. 34461",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344616916",
            "telephone_number": "352-220-1218",
            "fax_number": "352-249-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 N. PRESTWICK WAY",
            "address_2": "LECANTO, FL. 34461",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "34461",
            "telephone_number": "352-220-1218",
            "fax_number": "352-249-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLCKO",
        "first_name": "VLADIMIR",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS3896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00021833",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "82206",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR GROUP",
            "identifier": "CJ7430",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "OS3896",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Montgomery Tyrie, ARNP
• V Upender Rao MD PA
• Walton L Vanhoose, DMD
• Clarena Veldwijk, OTR/L
• Kendel Vickers, PA-C
• VSP Nephrology Associates PLLC
• Thomas J. Wachendorf, M.D.
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP
• Brooke Walker, SLP

• Family Medicine Physician in Lecanto, FL
• Providers in Lecanto, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.