VECTOR VIVIFY, LLC (NPI# 1952967606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952967606 |
| Entity Type | Organization |
| Organization Name | VECTOR VIVIFY, LLC |
| Practice Address |
6851 Oak Hall Ln # 302 Columbia MD 21045-5846 |
| Practice Telephone | 8009669150 |
| Mailing Telephone | 8009669150 |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-05-17 |
| Authorized Official Name | DR. DUSTIN RAY (OWNER) |
| Authorized Official Telephone | 8885443339 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
Allopathic & Osteopathic Physicians |
| Street Address |
6851 OAK HALL LN # 302 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-5846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154987378 | Vector Hand, LLC | Surgery | 10440 Shaker Dr Ste 107, Columbia, MD 21046-2340 | 2019-05-13 |
| 1235196205 | Barry J Gainor | Surgery | 1101 Hospital Dr, Columbia, MO 65212-0001 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760565865 | Barry Joseph Cohen | Surgery | 3203 Tower Oaks Blvd # 200, Rockville, MD 20852 | 2006-10-23 |
| 1306824123 | Robert John Carpenter | Surgery | 911 Seton Dr, Cumberland, MD 21502-1817 | 2006-01-03 |
| 1366987091 | Scdc Associates Pllc | Surgery | 7625 Maple Lawn Blvd Ste 100, Fulton, MD 20759-2562 | 2017-01-04 |
| 1982708228 | Northwest Hospital Center, Inc | Surgery | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2006-09-08 |
| 1366456824 | Razullah Khwaja, M.d. | Surgery | 101 Colonial Way, Suite 101, Rising Sun, MD 21911-2283 | 2006-07-28 |
Please comment or provide details below to improve the information on VECTOR VIVIFY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.