Vineyard Medical Services PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VINEYARD MEDICAL SERVICES PC

Practice address

364 State Rd
Vineyard Haven, MA 02568

Phone

(508) 693-4400

Fax

(508) 693-2098

NPI assigned

Aug 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Jacobs, MD

Title

President

Phone

(508) 639-4400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1316130701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 STATE RD",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "02568",
            "telephone_number": "508-693-4400",
            "fax_number": "508-693-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 STATE RD",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "02568",
            "telephone_number": "508-693-4400",
            "fax_number": "508-693-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINEYARD MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-639-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110091889A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Up Island Regional School District
• Venilia Gardens, Inc
• Cathleen P Vincent, LIC. AC.
• Vineyard Healthcare Assoc.
• Vineyard Medical Care LLC
• Vineyard Psychotherapy, LLC
• Vineyard Sound Health
• Vineyard Vision Care LLC
• Jennifer M Vogel, LICSW
• Katherine M Voshell, LPN

• Internal Medicine Physician in Vineyard Haven, MA
• Providers in Vineyard Haven, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.