Individual provider Active NPI

Vincent Dovico, M.D.

  • Surgery Physician
  • Seven Hills, OH
National Provider Identifier
1720010531
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35030614-D Issued in OH
Practice address
4301 Gene Dr
Seven Hills, OH 44131-5947
Phone
(216) 524-8228
NPI assigned
Jul 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35030614-D OH Primary

Addresses

Primary practice location

4301 Gene Dr
Seven Hills, OH 44131-5947

Mailing address

4301 Gene Dr
Seven Hills, OH 44131-5947
Phone (216) 524-8228

Other names 1

  • Dr. Vincent Dovico Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051014000050 OH Practitioner - General PracticePractitioner - General Surgery 4082639448 Practice locations: Seven Hills, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35030614-DOHMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720010531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 GENE DR",
            "city": "SEVEN HILLS",
            "state": "OH",
            "postal_code": "441315947",
            "telephone_number": "216-524-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 GENE DR",
            "city": "SEVEN HILLS",
            "state": "OH",
            "postal_code": "441315947",
            "telephone_number": "216-524-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVICO",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35030614-D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VINCENT",
            "last_name": "DOVICO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seven Hills, OH

Sources for this page

Verify at the official NPI Registry.