Active NPI
Thomas Blake Vincent, D.O.
- Family Medicine Physician
- Owensboro, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 03709
- Practice address
- 3400 New Hartford Rd
Owensboro, KY 42303-2058 - Phone
- (270) 684-5034
- NPI assigned
- Jun 27, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 03709 | KY | Primary |
| Family Medicine Physician | 207Q00000X | R3058 | KY |
Addresses
Primary practice location
3400 New Hartford Rd
Owensboro, KY 42303-2058
Mailing address
PO Box 1244
Henderson, KY 42419-1244
Phone (812) 465-6202
Other practice location 1
6211 Waterford Blvd
Evansville, IN 47715
Phone (812) 465-6202
Other practice location 2
1015 N Elm St
Henderson, KY 42420-2712
Phone (270) 826-8009
Other practice location 3
3032 Alvey Park Dr W Ste 400
Owensboro, KY 42303-2191
Phone (606) 393-6695
Other practice location 4
1253 Paris Rd # A
Mayfield, KY 42066-4989
Phone (270) 247-2455
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201324850 | Medicaid | IN | |
| 7100282830 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03709 | KY | MD | Family Medicine Physician |
| R3058 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmonycares Complete Health Services, PLLC | Family Medicine | Current | Accepting new patients |
Locations
3499 Blazer Pkwy
Ste 330
Lexington, KY 40509
Phone (410) 885-4727
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1417397076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1244",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424191244",
"telephone_number": "812-465-6202",
"fax_number": "812-474-3622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 NEW HARTFORD RD",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423032058",
"telephone_number": "270-684-5034"
}
],
"practiceLocations": [
{
"address_1": "6211 Waterford Blvd",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "47715",
"country_code": "US",
"telephone_number": "812-465-6202",
"fax_number": "812-474-3622",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1015 N Elm St",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "KY",
"postal_code": "424202712",
"country_code": "US",
"telephone_number": "270-826-8009",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3032 Alvey Park Dr W Ste 400",
"address_purpose": "LOCATION",
"city": "Owensboro",
"state": "KY",
"postal_code": "423032191",
"country_code": "US",
"telephone_number": "606-393-6695",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1253 Paris Rd # A",
"address_purpose": "LOCATION",
"city": "Mayfield",
"state": "KY",
"postal_code": "420664989",
"country_code": "US",
"telephone_number": "270-247-2455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VINCENT",
"first_name": "THOMAS",
"middle_name": "BLAKE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-27",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "03709",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "R3058",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201324850",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100282830",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.