Mary Tamarin Vick, DO

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

02383 Issued in KY

Practice address

208 Crossfield Dr
Versailles, KY 40383-1468

Phone

(859) 873-8044

Fax

(859) 873-8045

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Tamarin Ring Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 5, 2015 through Jun 5, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Douglas E. Vick, DO M. Tamarin Vick, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Versailles, KY
  • NPI 1982875050

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1659596112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 CROSSFIELD DR",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831468",
            "telephone_number": "859-873-8044",
            "fax_number": "859-873-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 CROSSFIELD DR",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831468",
            "telephone_number": "859-873-8044",
            "fax_number": "859-873-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICK",
        "first_name": "MARY",
        "middle_name": "TAMARIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KY",
            "license": "02383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "RING",
            "middle_name": "TAMARIN",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Versailles Family Dre PLLC
• Versailles Family Medicine, PLLC
• Versailles Independent Pharmacy, Inc.
• Versailles Internal Medicine, PLC
• Douglas E Vick, DO
• Alyssa P. Vitali, LPCC
• Gary John Vitali, ED.D., NBC
• Steve T Vogelsang, MD
• Rhonda Wade
• Forest Platt Walker, M.D.

• General Practice Physician in Versailles, KY
• Providers in Versailles, KY by specialty
• General Practice Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.