VMD Primary Providers Northeast Ohio Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VMD PRIMARY PROVIDERS NORTHEAST OHIO CORP

Practice address

4650 Westway Park Blvd Ste 206
Houston, TX 77041-2006

Phone

(713) 461-2915

NPI assigned

Jun 22, 2022

Organization subpart

No

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

Authorized official

Name

Rebecca Rager

Title

Director Revenue Cycle

Phone

(844) 969-0686

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1376274126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 WESTWAY PARK BLVD STE 206",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770412006",
            "telephone_number": "844-969-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 WESTWAY PARK BLVD STE 206",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770412006",
            "telephone_number": "713-461-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VMD PRIMARY PROVIDERS NORTHEAST OHIO CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "RAGER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE",
        "authorized_official_telephone_number": "844-969-0686"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bistra Gueorguieva Vlassakova, M.D.
• Mary Catherine Vletas, PA-C
• Vli Tech Inc
• VMD Mediquip, LLC
• VMD Primary Providers Central Texas
• VMD Rsvjr PLLC
• Vme Partners
• VN Day Care Center Houston, Inc.
• VN Day Care Center, Inc.
• VNP Massage

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.