VK Medical Group LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

HCC10219 Issued in FL

Legal business name

VK MEDICAL GROUP LLC

Practice address

1218 Park Ave
Orange Park, FL 32073-4152

Phone

(904) 269-2437

Fax

(904) 264-2330

NPI assigned

Oct 30, 2014

Organization subpart

No

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

Authorized official

Name

Viresh Patel

Title

Ceo

Phone

(904) 269-2437

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 8

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

• Elizabeth G. Bagan, ARNP, NP-C, ENP-C

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1225560691
  Medicare reassignment NPD
• Alberto Castiel, MD

  • Family Medicine Physician
  • Orange Park, FL
  • NPI 1386617082
  Medicare reassignment NPD
• Parveen Khanna, MD

  • Pain Medicine (Anesthesiology) Physician
  • Jacksonville, FL
  • NPI 1558346106
  Medicare reassignment NPD
• Sherrye Kinnebrew, APRN

  • Adult Health Nurse Practitioner
  • Jacksonville, FL
  • NPI 1467834929
  Medicare reassignment NPD
• Madison Nicole Kissel, DNP-FNP

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1083469100
  Medicare reassignment NPD
• Austin Mosley, D.C.

  • Chiropractor
  • Tavernier, FL
  • NPI 1508244989
  Medicare reassignment NPD
• Shannon Jane O'Brien, F.N.P.

  • Family Nurse Practitioner
  • Jacksonville Beach, FL
  • NPI 1245614114
  Medicare reassignment NPD
• Barbara Short, PT

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1427241207
  Medicare reassignment NPD

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1629473822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 PARK AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734152",
            "telephone_number": "904-269-2437",
            "fax_number": "904-264-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 PARK AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734152",
            "telephone_number": "904-269-2437",
            "fax_number": "904-264-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VK MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIRESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-269-2437"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "HCC10219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vital Pharmacy LLC (Vital Pharmacy)
• Vital Rehabilitation LLC
• Vital Rehabilitation LLC.
• Sherley Edwine Vixamar
• VK Medical Group LLC (Back & Neck Institute)
• Jossette Trinh Vo, DMD
• Alicia Vogt, DPT
• Tina M Voisin, ARNP
• Timothy Lynn Vola, D.M.D.
• Albert Matthew Volk, MD

• Specialist in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.