Stacey Erika Vladovich, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3208 Issued in OK

Practice address

637 E 27TH St
Edmond, OK 73013-5222

Phone

(918) 289-6496

NPI assigned

Jan 27, 2021

Sex

Female

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacey.vladovich.1@17619.direct.athenahealth.com
• Direct secure messaging: svladovich165897@direct.integrisok.com

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.

• Ou Health Partners, Inc

  • Prosthetic/Orthotic Supplier
  • Oklahoma City, OK
  • NPI 1447834460
  NPD

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1235720830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 E 27TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135222",
            "telephone_number": "918-289-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 E 27TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135222",
            "telephone_number": "918-289-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLADOVICH",
        "first_name": "STACEY",
        "middle_name": "ERIKA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "3208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visiting Physicians Services, LC
• Visuals Technology Solutions, LLC
• Vita Wellness LLC
• Vital Growth Counseling & Wellness, LLC
• Vitality Chiropractic PLLC
• Daniel Vo
• Julie Vo
• Paul Vorel
• Sarah Elise Vorva
• Brock William Vorwald, PA-C

• Physician Assistant in Edmond, OK
• Providers in Edmond, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.