Active NPI
Theodor V. B. Vonzielinski I, M.D.
- Obstetrics & Gynecology Physician
- Vero Beach, FL
National Provider Identifier
1861422461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME0037467
- Practice address
- 1050 37TH PL
Suite 101 & 102
Vero Beach, FL 32960-6578 - Phone
- (772) 770-6116
- Fax
- (772) 564-6120
- NPI assigned
- Jul 3, 2006
- Last updated
- Feb 1, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0037467 | FL | |
| Obstetrics & Gynecology Physician | 207V00000X | ME0037467 | FL | Primary |
Addresses
Primary practice location
1050 37TH PL
Suite 101 & 102
Vero Beach, FL 32960-6578
Mailing address
1000 36TH St
Vero Beach, FL 32960-4862
Phone (772) 567-4311
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006326700 | Medicaid | FL | |
| 31156 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0037467 | FL | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359676800000",
"number": "1861422461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 36TH ST",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604862",
"telephone_number": "772-567-4311",
"fax_number": "772-794-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 37TH PL",
"address_2": "SUITE 101 & 102",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329606578",
"telephone_number": "772-770-6116",
"fax_number": "772-564-6120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONZIELINSKI",
"first_name": "THEODOR",
"middle_name": "V. B.",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2013-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME0037467",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME0037467",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006326700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "31156",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.