Vikrambeherallc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VIKRAMBEHERALLC

Practice address

801 Oak St
Green Cove Springs, FL 32043-4317

Phone

(904) 284-9230

NPI assigned

Oct 1, 2021

Organization subpart

No

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

Authorized official

Name

Judy Payne

Title

Admin

Phone

(904) 387-4778

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649030400000",
    "number": "1043982606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 WATERLINE DR",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322592311",
            "telephone_number": "212-767-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OAK ST",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320434317",
            "telephone_number": "904-284-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIKRAMBEHERALLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "904-387-4778"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urban Jacksonville, Inc (Aging True)
• Kreistopher Valdes, D.C.
• Vesmina L Vanta, RPT
• Raul Lazaro Vega, PTA
• John Dennis Verville, D.D.S.
• Vital Health Diagnostics & Supplies
• Christopher Michael Vozzella
• Samantha Waite
• Walgreen Co (Walgreens #10469)
• Walker Wellness Center, LLC

• Internal Medicine Physician in Green Cove Springs, FL
• Providers in Green Cove Springs, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.