AMBER O VICK (NPI# 1972519213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972519213 |
| Entity Type | Individual |
| Full Name | AMBER O VICK |
| Credential | MD |
| Practice Address |
600 Peterson Parkway Affiliated Community Medical Centers New London MN 56273 |
| Practice Telephone | 3203542222 |
| Practice Fax Number | 2185299120 |
| Mailing Telephone | 3203542222 |
| Mailing Fax Number | 2185299120 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2011-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 48788 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA | 01-25488 | 01 |
| MN | BCBSMN | 165H7HO | 01 |
| MN | 985172000 | 05 | |
| RR MEDICARE PTAN | P00442141 | 01 |
| Street Address |
600 PETERSON PARKWAY AFFILIATED COMMUNITY MEDICAL CENTERS |
| City | NEW LONDON |
| State | MN |
| Zip Code | 56273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261812 | New London Family Dental | Dentist | 15 Ash St Se, New London, MN 56273 | 2020-10-09 |
| 1538612239 | Willow Creek Counseling LLC | Social Worker | 17 Ash Street, New London, MN 56273 | 2016-07-28 |
| 1033321351 | Living Services Foundation/ New London LLC | Home Health | 102 Glen Oaks Dr, New London, MN 56273 | 2007-05-07 |
| 1144380973 | City of New London | Ambulance | 20 1st Avenue Sw, New London, MN 56273 | 2006-12-11 |
| 1053481069 | Clarence William Walker | Psychologist | 17 Ash Street, N.e, Post Office Box 92, New London, MN 56273 | 2006-11-08 |
| 1932282787 | Judith Irene Pederson | Marriage & Family Therapist | 430 S Andrew Dr Ne, New London, MN 56273 | 2006-10-23 |
| 1639263270 | David Steven Roberts | Physical Therapist | 7900 Chapin Dr Ne, Allergy, Asthma and Dermatology Clinic, New London, MN 56273 | 2006-10-03 |
| 1801342696 | Kristin Ann Schmidt | Counselor | 17 Ash Street, New London, MN 56273-0321 | 2016-08-31 |
| 1508933011 | Fischer Laser Eye Center, LLC | Optometrist | 61 Main St S, New London, MN 56273-5005 | 2006-11-29 |
| 1689293185 | Candace Jo Eck | Acupuncturist | 61 Main St S, New London, MN 56273-5005 | 2020-04-14 |
| Find all providers in zip 56273 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881195048 | Glenn Edward Mott | Family Medicine | 74 Pleasant St Ste 204, New London, NH 03257-5881 | 2018-02-23 |
| 1316124043 | Heritage Family Care LLC | Family Medicine | 470 Bank St, New London, CT 06320-5548 | 2008-01-24 |
| 1093992000 | Christine Ann Dube | Family Medicine | 273 Country Road, New London, NH 03257 | 2008-01-22 |
| 1679761423 | Southeastern Connecticut Medical Associates, PC | Family Medicine | 447 Montauk Ave, New London, CT 06320-4605 | 2007-10-05 |
| 1922215946 | Anthony Joseph Yuskaitis | Family Medicine | 868 Morgan Hill Rd., New London, NH 03257 | 2007-05-17 |
| 1669568309 | Gary M. Bertman | Family Medicine | 157 Montauk Ave, New London, CT 06320-4842 | 2006-10-04 |
| 1154416782 | Peter J. Gates | Family Medicine | 157 Montauk Avenue, New London, CT 06320 | 2006-10-03 |
| 1467482653 | Leticia V Filip | Family Medicine | 153 Montauk Ave, New London, CT 06320-4842 | 2006-07-03 |
| 1174585442 | Josiephina Castro Souza | Family Medicine | U.S.coast Guard Academy Medical, 15 Mohegan Ave, New London, CT 06320 | 2006-04-03 |
| 1669449351 | Jeffrey A Harwood | Family Medicine | 187 W Main St, New London, OH 44851-1018 | 2006-03-02 |
| Find all providers in NEW LONDON | ||||
| City | NEW LONDON |
| Zip Code | 56273 |
Please comment or provide details below to improve the information on AMBER O VICK.
| 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.