Jose Orlando Vazquez-Vicente, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

04874 Issued in KY

Practice address

310 N L Rogers Wells Blvd
Glasgow, KY 42141-1300

Phone

(270) 659-5865

Fax

(270) 659-5854

NPI assigned

Dec 5, 2006

Last updated

Apr 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX, KY2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jose.vazquezvicente@hca9.eclinicaldirectplus.com
• Direct secure messaging: jose.vazquezvicente@tjsamson.direct-ci.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Obhg Kentucky, P.S.C.

  • Obstetrics & Gynecology Physician
  • Ashland, KY
  • NPI 1457644122
  Medicare reassignment NPD
• Coastal Bend Womens Center PLLC

  • Obstetrics & Gynecology Physician
  • Corpus Christi, TX
  • NPI 1891812483
  Medicare reassignment NPD
• HCA Houston OB Hospitalist, PLLC

  • Obstetrics & Gynecology Physician
  • Corpus Christi, TX
  • NPI 1144081431
  Medicare reassignment NPD
• Obhg Texas Holdings, P.a.

  • Obstetrics & Gynecology Physician
  • Austin, TX
  • NPI 1083917769
  Medicare reassignment NPD
• Womans Health Group PLLC

  • Obstetrics & Gynecology Physician
  • Houston, TX
  • NPI 1750532545
  Medicare reassignment NPD
• Chca Womans Hospital LP

  dba Woman's Hospital of Texas

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1023065794
  NPD (past)
• Laredo OBGYN Associates P.a.

  • Obstetrics & Gynecology Physician
  • Laredo, TX
  • NPI 1215002415
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1568520906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N RACE ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413483",
            "telephone_number": "270-651-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N L ROGERS WELLS BLVD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411300",
            "telephone_number": "270-659-5865",
            "fax_number": "270-659-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ-VICENTE",
        "first_name": "JOSE",
        "middle_name": "ORLANDO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M3413",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "04874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY LICENSE",
            "identifier": "04874",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jose.VazquezVicente@tjsamson.direct-ci.net",
            "affiliation": "N",
            "address_1": "310 N L Rogers Wells Blvd",
            "city": "Glasgow",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421411300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vann Homecare Inc
• E P Vann, RPH
• Vascular Lab Associates
• Stefany Vaughn Mack, LPCC-S
• John Paul Vaughn, PT
• Eric Todd Vessels, M.D.
• Michele Grace Vincent, APRN
• W. Craig Tyree, MD, PLC
• Wagner & Wagner PSC (Wagner Eye Care Center)
• Ronald T. Wagner, O. D.

• Obstetrics & Gynecology Physician in Glasgow, KY
• Providers in Glasgow, KY by specialty
• Obstetrics & Gynecology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.

Verify at the official NPI Registry.