Vincent Demarco, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2016007359 Issued in MO

Practice address

1604 NW Mock Ave Ste B
Blue Springs, MO 64015-3123

Phone

(816) 265-9270

Fax

(816) 265-9270

NPI assigned

Jun 18, 2013

Last updated

Jun 9, 2025By 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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 13, 2025 through Jun 13, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1942649538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 SE 5TH TER",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631067",
            "telephone_number": "816-265-9270",
            "fax_number": "816-265-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 NW MOCK AVE STE B",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153123",
            "telephone_number": "816-265-9270",
            "fax_number": "816-265-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARCO",
        "first_name": "VINCENT",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-18",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2016007359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Davis
• Cynthia Marquelle Dean, D.O.
• Janelle Deblock, LPC; MA
• Renu Debroy, M.D.
• Kelly R Deems, DC
• Dennis L Demskey, D.D.S.
• Kara Laney Dennell, PTA
• Dental Depot of Blue Springs PLLC
• Ameet Deshmukh, MD
• Dea Sun Deuser, PHARM. D.

• Family Medicine Physician in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.