DOUGLAS E. VICK DO M. TAMARIN VICK DO NPI 1982875050

NPI Information

  • NPI: 1982875050
  • Provider Name: DOUGLAS E. VICK, DO M. TAMARIN VICK, DO
  • Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
  • Entity Type: Organization
  • Address: 208 CROSSFIELD DR
    VERSAILLES, KY
    ZIP 40383
  • Phone: (859) 873-8044

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NPI Details

DOUGLAS E. VICK, DO M. TAMARIN VICK, DO is a neuromusculoskeletal medicine omm in Versailles, KY. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. DOUGLAS E. VICK, DO M. TAMARIN VICK, DO NPI is 1982875050. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

208 CROSSFIELD DR
VERSAILLES, KY
ZIP 40383-468
Phone: (859) 873-8044
Fax: (859) 873-8045

The provider's authorized official is Mary Tamarin Vick .
The authorized official title is Practitioner and has the following contact phone number (859) 873-8044.

The enumeration date for this NPI number is 3/17/2008 and was last updated on 3/17/2008.

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
1207Q00000XFamily Medicine02382KENTUCKYNo
2208D00000XGeneral Practice02383KENTUCKYNo
3204D00000XNeuromusculoskeletal Medicine & OMM02382KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12894MEDICARE PIN
2A67747MEDICARE UPIN
3F78724MEDICARE UPIN

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: 11/21/2025

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