Vida Oncology LLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

VIDA ONCOLOGY LLC

Practice address

2150 Intelliplex Dr Ste 134
Shelbyville, IN 46176-8550

Phone

(317) 796-2200

NPI assigned

Sep 22, 2020

Organization subpart

No

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

Authorized official

Name

Jaime Ayon, MD

Title

Owner

Phone

(317) 796-2200

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• William F Scully III, M.D.

  • Orthopaedic Surgery Physician
  • Cuyahoga Falls, OH
  • NPI 1851555742
  NPD (past)

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1659987832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 INTELLIPLEX DR STE 134",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768550",
            "telephone_number": "317-796-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 INTELLIPLEX DR STE 134",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768550",
            "telephone_number": "317-796-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA ONCOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "AYON",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-796-2200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arise Uwizeyimana
• Pamela Vandermark, NP
• Megan Alexis Vanover, PHARMD
• Rylee McKinsey Vanover
• Alexander John Verbarg
• Carlos Vieira, MD
• George Mathenge Wairiuko, M.D.
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co

• Hematology & Oncology Physician in Shelbyville, IN
• Providers in Shelbyville, IN by specialty
• Hematology & Oncology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.