Jeffrey Robert Vlasic, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

4301102827 Issued in MI

Practice address

1500 E. Medical Center Drive
B1-380 TC
Ann Arbor, MI 48109-5305

Phone

(734) 763-7919

Fax

(734) 763-9298

NPI assigned

Jun 10, 2013

Last updated

Oct 27, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509062400000",
    "number": "1821436171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E. MEDICAL CENTER DRIVE",
            "address_2": "B1-380 TC",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095305",
            "telephone_number": "734-763-7919",
            "fax_number": "734-763-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E. MEDICAL CENTER DRIVE",
            "address_2": "B1-380 TC",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095305",
            "telephone_number": "734-763-7919",
            "fax_number": "734-763-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLASIC",
        "first_name": "JEFFREY",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-10",
        "last_updated": "2017-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301102827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Jean Vitous, LMSW
• Roselle Margaret Vittorino, M.D.
• Jose L Vivas, DDS
• Nicole Vladimerou, RN
• Jonathan Vlasak
• Phillip E Vlisides, M.D.
• VLS Counseling, PLLC
• Kimberly A Vnuk-Kronick, CRNA
• Nhi Phuong Vo
• Dmitry Vodopyanov, DDS

• Emergency Medicine Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.