William Joseph Vinyard, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

ME120069 Issued in FL

Practice address

291 NW Peacock Blvd Ste 104
Port Saint Lucie, FL 34986-2214

Phone

(772) 212-0304

Fax

(772) 212-0301

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Marshall Medical Center North

  • Plastic Surgery Physician
  • Guntersville, AL
  • NPI 1114232535
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1295855823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 NW PEACOCK BLVD STE 104",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862214",
            "telephone_number": "772-212-0304",
            "fax_number": "772-212-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 NW PEACOCK BLVD STE 104",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862214",
            "telephone_number": "772-212-0304",
            "fax_number": "772-212-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINYARD",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "94-05814",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A98342",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME120069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Rob Vickers, M.D.
• Calvert Victor, MA
• Denis A Vilchez, M.D.
• Borgeline Marie Jina Vilfort
• Marckenson Vincent Sr.
• Visser Health LLC
• Vitality Mobile Nursing Services LLC
• Vitality Oasis Alf LLC
• Vitam Florida Health and Wellness LLC
• Rebecca K Vlha

• Plastic and Reconstructive Surgery Physician in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Plastic and Reconstructive Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.