Individual provider Active NPI

Victoria J Antle-Vlach, MD

  • Anesthesiology Physician
  • Yankton, SD
National Provider Identifier
1780615872
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
8743 Issued in SD
Practice address
1000 W 4TH St
Suite 13
Yankton, SD 57078-3730
Phone
(605) 668-8795
Fax
(605) 668-9705
NPI assigned
Jul 6, 2006
Last updated
Feb 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 8743 SD Primary

Addresses

Primary practice location

1000 W 4TH St
Suite 13
Yankton, SD 57078-3730

Mailing address

1000 W 4TH St
Suite 13
Yankton, SD 57078-3730
Phone (605) 668-8795

Other names 1

  • Victoria J Vlach Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health Services CurrentSince Nov 1, 2023 Accepting new patients
Sacred Heart Health Services CurrentSince Nov 1, 2023 Accepting new patients
Yankton Anesthesiology, PC Anesthesiology CurrentSince Jun 1, 2013 Accepting new patients
Sacred Heart Health Services Current Accepting new patients
Truman Medical Centers, Inc. Past Accepting new patients
Westport Anesthesia Services of Missouri, PC Anesthesiology Past Accepting new patients

Locations

1000 W 4th St
Ste 13
Yankton, SD 57078
Phone (605) 668-8795

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

Organizations & group practices 6

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.

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": "1455753600000",
    "number": "1780615872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W 4TH ST",
            "address_2": "SUITE 13",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783730",
            "telephone_number": "605-668-8795",
            "fax_number": "605-668-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W 4TH ST",
            "address_2": "SUITE 13",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783730",
            "telephone_number": "605-668-8795",
            "fax_number": "605-668-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTLE-VLACH",
        "first_name": "VICTORIA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SD",
            "license": "8743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "VLACH",
            "middle_name": "J",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yankton, SD

Sources for this page

Verify at the official NPI Registry.