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

Last updated

Feb 20, 2023By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mar Primary Care LLC

  dba Citrus Medical Associates

  • 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

  dba Blue Medical Care

  • 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": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Montgomery Tyrie, ARNP
• V Upender Rao MD PA (Cancer & Blood Disease Center)
• 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 Vision Center 30-5772)
• Wal-Mart Stores East LP (WalMart Pharmacy 10-5772)
• 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.