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MARCO ISLAND MEDICAL CENTER
NPI 1164751400
Family Medicine in Marco Island, FL

Active since December 16, 2009CLIA 10D2001937 · Waiver
531 BALD EAGLE DR, MARCO ISLAND, FL 34145(239) 393-2000(239) 393-0355 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Marco Island Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARCO ISLAND MEDICAL CENTER (NPI 1164751400) is a healthcare organization registered as a family medicine in Marco Island, Florida and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through November 17, 2026 and lists Joseph Vickaryous, Owner, as its authorized official.

NPPES Registry Identity

NPI1164751400
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJOSEPH VICKARYOUS D.O. P.A.
Location Address531 BALD EAGLE DRMarco Island, FL 34145-2700
Mailing Address531 Bald Eagle DrMarco Island, FL 34145-2700 · (239) 393-2000 · Fax (239) 393-0355
Phone(239) 393-2000
Fax(239) 393-0355
Organization SubpartNo
Authorized OfficialJoseph VickaryousOwner · (239) 393-2000
Enumeration DateDecember 16, 2009
Last NPPES UpdateAugust 27, 2013
✔ NPI 1164751400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS9338
Definition
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.
531 BALD EAGLE DR, Marco Island, FL 34145
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Other Names 1

Doing Business AsMarco Island Medical Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2001937

Marco Island Medical Center · Marco Island, FL
Active · expires Nov 17, 2026
CLIA Number10D2001937
Laboratory TypePhysician Office
Certificate Effective DateNovember 18, 2024
Certificate Expiration DateNovember 17, 2026
Laboratory DirectorJoseph P. Vickaryous
Laboratory Phone(239) 393-2000
Laboratory LocationMarco Island Medical Center531 Bald Eagle Dr, Marco Island, FL 34145
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH P VICKARYOUS D.O.
General Practice
531 BALD EAGLE DR
MARCO ISLAND, FL 34145
Collier County (239) 393-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Vickaryous D.O. P.A.'s NPI number?

The NPI number for Joseph Vickaryous D.O. P.A. is 1164751400. It was assigned to this organization in the NPPES registry on December 16, 2009. The provider is doing business as Marco Island Medical Center.

Where is Joseph Vickaryous D.O. P.A. located?

Joseph Vickaryous D.O. P.A. is located at 531 Bald Eagle Dr, Marco Island, FL 34145. The listed phone number is (239) 393-2000.

What is Joseph Vickaryous D.O. P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Joseph Vickaryous D.O. P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2001937) is associated with this NPI, valid through November 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Joseph Vickaryous D.O. P.A. was last updated on August 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.