Active NPI
John H. McVicker, M.D.
- Neurological Surgery Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 28237
- Practice address
- 1725 E Boulder St
Suite 101
Colorado Springs, CO 80909-5768 - Phone
- (719) 365-6300
- Fax
- (719) 365-6094
- NPI assigned
- Jul 20, 2006
- Last updated
- Jun 20, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 28237 | CO | Primary |
Addresses
Primary practice location
1725 E Boulder St
Suite 101
Colorado Springs, CO 80909-5768
Mailing address
8890 N Union Blvd
Ste 160
Colorado Springs, CO 80920-7799
Phone (719) 365-9950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01282375 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20480 | NE | MD | Licensed Practical Nurse |
| 28237 | CO | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Neurological Surgery | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Rocky Mountain Gamma Knife Center, LLC | Past | Accepting new patients | |
| John H. McVicker, MD | Neurological Surgery | Past | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120
1725 E Boulder St
Ste 101
Colorado Springs, CO 80909
Phone (719) 365-6300
8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633
8890 N Union Blvd
Ste 160
Colorado Springs, CO 80920
Phone (719) 364-8840
1107 S Lemay Ave
Ste 240
Fort Collins, CO 80524
Phone (970) 495-7420
2 W 42nd St
#255
Scottsbluff, NE 69361
Phone (308) 630-1947
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400
Organizations & group practices 7
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.
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Neurological Surgery Physician
- Englewood, CO
- NPI 1558535633
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1366763260
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Specialist
- Aurora, CO
- NPI 1346297421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371686400000",
"number": "1811917701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8890 N UNION BLVD",
"address_2": "STE 160",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207799",
"telephone_number": "719-365-9950",
"fax_number": "719-365-9969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 E BOULDER ST",
"address_2": "SUITE 101",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809095768",
"telephone_number": "719-365-6300",
"fax_number": "719-365-6094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCVICKER",
"first_name": "JOHN",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2013-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CO",
"license": "28237",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01282375",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.