Vineyard Medical Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VINEYARD MEDICAL CARE LLC

Practice address

364 State Rd
Vineyard Haven, MA 02568-5624

Phone

(508) 693-4400

Fax

(508) 693-2098

NPI assigned

Aug 21, 2014

Last updated

Aug 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Loberg, PHD

Title

President

Phone

(508) 548-8989

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EAFDBD

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen E Koehler, MD

  • Internal Medicine Physician
  • Vineyard Haven, MA
  • NPI 1013967140
  Medicare reassignment Care Compare group NPD
• Kara M Rogers, CRNA, FNP-C

  • Family Nurse Practitioner
  • Vineyard Haven, MA
  • NPI 1427036078
  Medicare reassignment Care Compare group NPD
• Bill A. Tsikitas, M.D.

  • Internal Medicine Physician
  • South Weymouth, MA
  • NPI 1407827033
  Medicare reassignment Care Compare group NPD
• Gerald Yukevich, M.D.

  • Internal Medicine Physician
  • Oak Bluffs, MA
  • NPI 1992873566
  Medicare reassignment Care Compare group NPD
• Katherine R Friedman, NP

  • Nurse Practitioner
  • Oak Bluffs, MA
  • NPI 1932302288
  Medicare reassignment Care Compare group
• Sarah Shannon, APRN

  • Family Nurse Practitioner
  • Vineyard Haven, MA
  • NPI 1467295519
  Medicare reassignment Care Compare group
• Kelley Anne Ellsworth, PA-C

  • Physician Assistant
  • Washington, DC
  • NPI 1710541487

  MA

  Medicare reassignment Care Compare group
• Laura R Kelley, FNP

  • Family Nurse Practitioner
  • Duxbury, MA
  • NPI 1699336875
  Medicare reassignment NPD
• Susan Marie McSweeney, NP

  • Adult Health Nurse Practitioner
  • Edgartown, MA
  • NPI 1942322359
  Medicare reassignment NPD
• Aubrey Ryan, PA

  • Physician Assistant
  • Oak Bluffs, MA
  • NPI 1124257803
  Medicare reassignment NPD
• Kirsten Ueland Gallery, PA

  • Surgical Physician Assistant
  • South Portland, ME
  • NPI 1033630926

  MA

  Medicare reassignment NPD
• Krista Renee Bendavid, PA-C

  • Physician Assistant
  • Neptune, NJ
  • NPI 1568819902

  MA

  Medicare reassignment

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1346649886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2557",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025680922",
            "telephone_number": "508-548-8989",
            "fax_number": "508-548-5789"
        },
        {
            "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": "025685624",
            "telephone_number": "508-693-4400",
            "fax_number": "508-693-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINEYARD MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "LOBERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-548-8989",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Scott Turton, LICSW
• Up Island Regional School District
• Venilia Gardens, Inc (Cultural Counseling Services)
• Cathleen P Vincent, LIC. AC.
• Vineyard Healthcare Assoc.
• Vineyard Medical Services PC
• Vineyard Psychotherapy, LLC
• Vineyard Sound Health
• Vineyard Vision Care LLC
• Jennifer M Vogel, LICSW

• 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 Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.