Mark N Vinzant, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0417161 Issued in KS

Practice address

1410 N Woodlawn Blvd
Suite a
Derby, KS 67037-2922

Phone

(316) 788-3741

Fax

(316) 788-5198

NPI assigned

Jun 3, 2006

Last updated

Jun 23, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Family Health Center

  • Specialist
  • Derby, KS
  • NPI 1962558395
  Authorized official Same address or phone

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1659319481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 N WOODLAWN BLVD",
            "address_2": "SUITE A",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372922",
            "telephone_number": "316-788-3741",
            "fax_number": "316-788-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N WOODLAWN BLVD",
            "address_2": "SUITE A",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372922",
            "telephone_number": "316-788-3741",
            "fax_number": "316-788-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINZANT",
        "first_name": "MARK",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0417161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "006432",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Vail
• Jennifer S Vaughn
• Denise Alejandra Villafranco, LMSW
• Nicola Villanueva, DDS
• Vintage Place of Derby
• Catherine E. Vitosh, M.D.
• Phuoc Vo, PHARMACIST
• Walgreen Co (Walgreens #06707)
• Lisa R Walker, CRNA
• Walmart Inc. (Walmart Pharmacy 10-0592)

• Family Medicine Physician in Derby, KS
• Providers in Derby, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.