Vickery Neurodiagnostics Group LTD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD031004E Issued in PA

Legal business name

VICKERY NEURODIAGNOSTICS GROUP LTD

Practice address

3 Jennifer CT
Suiteb
Carlisle, PA 17015-7791

Phone

(717) 245-2226

Fax

(717) 245-0316

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jon L Vickery, M.D.

Title

President

Phone

(717) 245-2226

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1124193313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 JENNIFER CT",
            "address_2": "SUITEB",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157791",
            "telephone_number": "717-245-2226",
            "fax_number": "717-245-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 JENNIFER CT",
            "address_2": "SUITEB",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157791",
            "telephone_number": "717-245-2226",
            "fax_number": "717-245-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKERY NEURODIAGNOSTICS GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "VICKERY",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-245-2226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD031004E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014792300003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Vecchiolli
• Lisa Marie Vega, BS
• Corryn Vento, NCC
• Angela Marie Verdekal, PTA
• Jonathan Verrecchio, DO
• Jon L Vickery, MD
• Vincett Eye Associates LLC
• Dawn Vioral
• Leesa Ann Vitek, CRNP
• Patricia A Vogl, MSW

• Neurology Physician in Carlisle, PA
• Providers in Carlisle, PA by specialty
• Neurology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.