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VINEYARD MEDICAL SERVICES PC
NPI 1316130701
Internal Medicine in Vineyard Haven, MA

Active since August 20, 2007CLIA 22D2086441 · Waiver
364 STATE RD, VINEYARD HAVEN, MA 02568(508) 693-4400(508) 693-2098 Get Directions Write a Review

NPPES record last updated: July 15, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vineyard Medical Services Pc NPPES

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

VINEYARD MEDICAL SERVICES PC (NPI 1316130701) is a healthcare organization registered as an internal medicine in Vineyard Haven, Massachusetts and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through May 9, 2027 and lists Michael Jacobs, President, as its authorized official.

NPPES Registry Identity

NPI1316130701
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameVINEYARD MEDICAL SERVICES PC
Location Address364 STATE RDVineyard Haven, MA 02568
Mailing Address364 State RdVineyard Haven, MA 02568 · (508) 693-4400 · Fax (508) 693-2098
Phone(508) 693-4400
Fax(508) 693-2098
Organization SubpartNo
Authorized OfficialMichael JacobsPresident · (508) 639-4400
Enumeration DateAugust 20, 2007
Last NPPES UpdateJuly 15, 2014
✔ NPI 1316130701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
364 STATE RD, Vineyard Haven, MA 02568
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Other Identifiers 2

Medicaid110091889AMA
Medicare PIN0003576MA

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 22D2086441

Vineyard Medical Care, LLC · Vineyard Haven, MA
Active · expires May 9, 2027
CLIA Number22D2086441
Laboratory TypePhysician Office
Certificate Effective DateMay 10, 2025
Certificate Expiration DateMay 9, 2027
Laboratory DirectorKathleen Koehler
Laboratory Phone(508) 693-4400
Laboratory LocationVineyard Medical Care, LLC364 State Rd, Vineyard Haven, MA 02568
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

KATHLEEN E KOEHLER MD
Internal Medicine
364 STATE RD
VINEYARD HAVEN, MA 02568
Dukes County (508) 693-4400
VINEYARD MEDICAL CARE LLC
Internal Medicine
364 STATE RD
VINEYARD HAVEN, MA 02568
Dukes County (508) 693-4400
KARA M ROGERS CRNA, FNP-C
Nurse Practitioner (Family)
364 STATE RD
VINEYARD HAVEN, MA 02568
Dukes County (480) 227-2422
MS. SARAH SHANNON APRN
Nurse Practitioner (Family)
364 STATE RD
VINEYARD HAVEN, MA 02568
Dukes County (508) 693-4400

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 Vineyard Medical Services PC's NPI number?

The NPI number for Vineyard Medical Services PC is 1316130701. It was assigned to this organization in the NPPES registry on August 20, 2007.

Where is Vineyard Medical Services PC located?

Vineyard Medical Services PC is located at 364 State Rd, Vineyard Haven, MA 02568. The listed phone number is (508) 693-4400.

What is Vineyard Medical Services PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Vineyard Medical Services PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2086441) is associated with this NPI, valid through May 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vineyard Medical Services PC was last updated on July 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.