MR. THEODORE HOWARD VINEYARD NP NPI 1689954091

NPI Information

NPI: 1689954091
Provider Name: MR. THEODORE HOWARD VINEYARD, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
601 ELMWOOD AVE
BOX SURG 8-3600
ROCHESTER, NY
ZIP 14642
Phone: (585) 275-2113
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MR. Theodore Howard Vineyard, NP is an adult health nurse practitioner in Rochester, NY. MR. Theodore Howard Vineyard, NP NPI is 1689954091. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

601 ELMWOOD AVE
BOX SURG 8-3600
ROCHESTER, NY
ZIP 14642-001
Phone: (585) 275-2113

The NPI 1689954091 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/17/2011 and was last updated on 7/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	305756	NEW YORK	No
2	363LA2200X	Nurse Practitioner	Adult Health	F305756-1	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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