DR. MARK ANTHONY VITALE (NPI# 1013174697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013174697 |
| Entity Type | Individual |
| Full Name | DR. MARK ANTHONY VITALE |
| Credential | MD, MPH |
| Practice Address |
6 Greenwich Office Park Greenwich CT 06831-5151 |
| Practice Telephone | 2038691145 |
| Practice Fax Number | 2036181721 |
| Mailing Telephone | 2038691145 |
| Mailing Fax Number | 2036181721 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2020-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 245902 | NY | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
50843 | CT | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
245902 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992918478 | Mark Lawrence Vitale | Dentist | 101 E Cole Ave, Wheaton, IL 60187-3105 | 2007-05-08 |
| 1700992526 | Mark A Vitale | Dentist | 69 State Highwy 27, Edison, NJ 08820 | 2006-08-22 |
| Street Address |
6 GREENWICH OFFICE PARK |
| City | GREENWICH |
| State | CT |
| Zip Code | 06831-5151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144200031 | Francis Ennis | Orthopaedic Surgery | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2006-01-18 |
| 1528668498 | Nicole Lynn Quaedvlieg | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2020-10-29 |
| 1639778988 | Alexandra Rose Touri | Physical Therapist | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2020-10-19 |
| 1760094437 | Avigail Itzkowitz | Nurse Practitioner | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2020-08-23 |
| 1699306993 | Onalee Lucille Collins | Physical Therapist | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2020-01-27 |
| 1790322014 | Colleen Bisaccio | Physical Therapist | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2019-12-05 |
| 1568006690 | Thomas Gisin | Specialist/Technologist | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2019-11-01 |
| 1003459579 | Sabrina Douglass | Physical Therapist | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2019-10-28 |
| 1679122725 | Elissa Nicole Solomon | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2019-09-10 |
| 1578021416 | Christina Lynn Cauliffe | Specialist/Technologist | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2019-03-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700401775 | Aba Telehealth Project, LLC | Behavioral Analyst | 29 Valley Drive, #5004, Greenwich, CT 06831 | 2020-06-15 |
| 1972069466 | Maryse C Vincent | Licensed Practical Nurse | 36 Greenwich Hills Drive, Greenwich, CT 06831 | 2019-02-20 |
| 1720409766 | Livia Stephania Kijac | Psychiatry & Neurology | 10 Dwight Lane, Greenwich, CT 06831 | 2013-12-18 |
| 1114355286 | Sueli Pini Dejesus | Pharmacist | 7 Moshier St, Greenwich, CT 06831 | 2013-10-28 |
| 1386970960 | Dandan Tu | Physical Medicine & Rehabilitation | 1165 King Street, Greenwich Woods Rehabilitation & Health Care Cente, Greenwich, CT 06831 | 2009-11-02 |
| 1659606390 | Christine Speck | Social Worker | 21 Nicholas Ave, Greenwich, CT 06831 | 2009-10-14 |
| 1992991343 | Josephine A Capocci | Registered Nurse | 5 Willow Run Rd, Greenwich, CT 06831 | 2007-09-19 |
| 1841418571 | Alisa Krystyn Miller | Podiatrist | 2 Half Dearfield Dr., Greenwich, CT 06831 | 2007-04-20 |
| 1801919170 | Elsa M. Raskin Physician PC | Plastic Surgery | 2 1 2 Dearfield Drive, Suite 102, Greenwich, CT 06831 | 2007-04-09 |
| 1023150687 | Lisa Violi | Physician Assistant | 2 and One Half Dearfield Drive, Greenwich, CT 06831 | 2007-02-12 |
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| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093292310 | Physicians Alliance of Connecticut, LLC | Orthopaedic Surgery | 350 Goose Ln Ste 203b, Guilford, CT 06437-2158 | 2018-07-20 |
| 1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
| 1790962140 | Michael Legeyt Md LLC | Orthopaedic Surgery | 255 North Main St, Bristol, CT 06010 | 2008-01-29 |
| 1104024728 | Coastal Orthopaedics, PC | Orthopaedic Surgery | 36 Old Kings Hwy South, Darien, CT 06880 | 2007-07-05 |
| 1740484187 | Stewart Cory Gross | Orthopaedic Surgery | 2660 Main St Ste 311, Bridgeport, CT 06606-5301 | 2007-06-11 |
| 1306886163 | Terrence K Donahue | Orthopaedic Surgery | 40 Hart Street, Bldg D, New Britain, CT 06052 | 2006-06-08 |
| 1659335297 | John J Mara | Orthopaedic Surgery | 1111 Cromwell Ave Ste 404, Rocky Hill, CT 06067 | 2006-04-12 |
| 1053308361 | Andrew J Nelson | Orthopaedic Surgery | 500 Chase Parkway, Noss, Waterbury, CT 06708-3119 | 2005-10-03 |
| 1487649570 | Andrew G Gabow | Orthopaedic Surgery | 510 Cottage Grove Rd, Bloomfield, CT 06002-3123 | 2005-09-14 |
| 1396730487 | Michael Aron | Orthopaedic Surgery | 1000 Asylum Ave Ste 3220, Hartford, CT 06105-1702 | 2005-09-14 |
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| 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.