Individual provider Active NPI

Thomas Blake Vincent, D.O.

  • Family Medicine Physician
  • Owensboro, KY
National Provider Identifier
1417397076
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
03709 Issued in KY
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

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
201324850MedicaidIN
7100282830MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140325002113 KY Practitioner - Family Practice 9234360777 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
03709KYMDFamily Medicine Physician
R3058KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harmonycares Complete Health Services, PLLC Family Medicine CurrentSince Oct 4, 2025 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

Verify at the official NPI Registry.