Vick Surgical LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

VICK SURGICAL LLC

Practice address

7777 Hennessy Blvd Ste 2004
Baton Rouge, LA 70808-4370

Phone

(225) 769-2500

NPI assigned

Aug 28, 2023

Organization subpart

No

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

Authorized official

Name

Alicia Vick, PA

Title

Owner

Phone

(225) 413-5637

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vick Surgical Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill Gibson, M.D.

  • Obstetrics & Gynecology Physician
  • Covington, LA
  • NPI 1417124736
  NPD

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1548045735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80112",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708980112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD STE 2004",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084370",
            "telephone_number": "225-769-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICK SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "VICK",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-413-5637",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2568639",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vick Surgical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Derik P Viator, CRNA
• Dori Viator, AU.D.
• Aaron Joseph Vicari, PA
• Roberta Carona Vicari, M.D.
• Amara Lee Sarah Viccellio
• Alicia McMillin Vick, PA-C
• Dawn R Vick, M.D.
• Maurice McCall Vick Jr., MD
• Stephanie Vick
• Stephen Randolph Vick, M.D.

• Surgical Physician Assistant in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Surgical Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.