Dana James Vick, M.D., MBA, CPE

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

228315 Issued in NY

Practice address

321 Genesee St
Oneida, NY 13421-2611

Phone

(315) 361-2409

Fax

(315) 361-2391

NPI assigned

Aug 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oneida Medical Practice, PC

  • Podiatrist
  • Oneida, NY
  • NPI 1356869838
  NPD (past)
• Syracuse Urology Associates

  • Urology Physician
  • Syracuse, NY
  • NPI 1154368629
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1922090208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 GENESEE ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212611",
            "telephone_number": "315-361-2409",
            "fax_number": "315-361-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 GENESEE ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212611",
            "telephone_number": "315-361-2409",
            "fax_number": "315-361-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICK",
        "first_name": "DANA",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D., MBA, CPE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "228315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02462802",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• M Irene Vanderhoof, MD
• Margaret Vanderhoof, PT, DPT
• Mary Katherine Vanlieshout, RN
• Kevin Thomas Vanslyke, PHARM D., RPH
• Heidi G Vernold, RN
• Vineall Ambulance Inc
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP.
• Walgreen Co
• Walgreen Co

• Anatomic Pathology & Clinical Pathology Physician in Oneida, NY
• Providers in Oneida, NY by specialty
• Anatomic Pathology & Clinical Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.