DR. MICHAIL VITELLAS


Address: 30 Harrison St, Suite 250, Johnson City, NY 13790
Phone: 6077708600

DR. MICHAIL VITELLAS (NPI# 1023252293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023252293
Entity Type Individual
Full Name DR. MICHAIL VITELLAS
Credential MD
Practice Address 30 Harrison St
Suite 250
Johnson City
NY 13790
Mailing Address 33 Lewis Rd
2nd Floor
Binghamton
NY 13905-1048
Practice Telephone 6077708600
Enumeration Date 2009-04-30
Last Update Date 2018-07-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
275080 NY Allopathic & Osteopathic Physicians
N 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
275080 NY Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 30 HARRISON ST
SUITE 250
City JOHNSON CITY
State NY
Zip Code 13790

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932105566 Roman Thomas Pachulski Internal Medicine 30 Harrison St, Suite 250, Johnson City, NY 13790-2161 2005-06-28
1811488455 Siddharth Dalal Internal Medicine 30 Harrison St, Johnson City, NY 13790 2018-05-18
1316342959 Jodi Villanti Nurse Practitioner 30 Harrison St, Suite 460, Johnson City, NY 13790-2161 2014-10-24
1306277017 Kara Spalik Nurse Practitioner 30 Harrison St, Suite 100, Johnson City, NY 13790-2161 2013-12-05
1033459292 Jerome H Rosenstein Md Pllc Specialist 30 Harrison St, Suite 320, Johnson City, NY 13790-2161 2013-02-26
1881946788 Karen Lee Dunham Physician Assistant 30 Harrison St, Suite 455, Johnson City, NY 13790-2161 2012-10-03
1225325921 Kimberly Hageman Merrill Nurse Practitioner 30 Harrison St, Suite 100, Johnson City, NY 13790-2161 2011-07-01
1063659241 J Richard Cunningham Surgery 30 Harrison St, Suite 455, Johnson City, NY 13790-2161 2009-01-09
1821240011 Shilpa Sambidi Internal Medicine 30 Harrison St, Suite 100, Johnson City, NY 13790-2161 2008-10-21
1417154857 Peter Babatunde Ojo Surgery 30 Harrison St, Suite 320, Johnson City, NY 13790-2161 2007-06-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578107645 Thomas William Sorber Occupational Therapist 33 Harrison St, Johnson City, Johnson City, NY 13790 2019-11-01
1326534116 Silver Linings Golden Memory Care Clinic/Center 4416 Watson Blvd, Johnson City, NY 13790 2018-07-05
1508308545 Irene Mukeli Nzasi Registered Nurse 156 Corliss Ave Suite 107, Johnson City, NY 13790 2016-11-08
1053867754 Tabitha Rae Toman Physical Therapist 34 Harrison St, Johnson City, NY 13790 2016-09-01
1235685066 Dianne Brunner Physical Therapist 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 2016-08-31
1578982682 Tracy Lynn Brown Optometrist 223 Reynolds Road, Johnson City, NY 13790 2014-04-16
1083041495 Maryann Serbonich Pharmacist 52 Harrison Street, Johnson City, NY 13790 2013-09-30
1134464399 Kasey Connor Folger Speech-Language Pathologist 3 Laurel St., Johnson City, NY 13790 2012-11-29
1467797571 Bodyworks Physical Therapy LLC Clinic/Center 765 Harry L Drive, Johnson City, NY 13790 2012-11-29
1548518400 Melissa L Korosec Nurse Practitioner 30 Harrison St., Suite 250, Johnson City, NY 13790 2012-08-27
Find all providers in zip 13790

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578524930 John F Berry Internal Medicine 2800 Peoples St Ste 80, Johnson City, TN 37604 2006-03-28
1447236849 Christopher J Downs Internal Medicine 2 Professional Park Dr, Suite 15, Johnson City, TN 37604-6583 2005-12-16
1245228675 Jeffrey Wayne Schoondyke Internal Medicine 701 N State of Franklin Rd Ste 2, Johnson City, TN 37604-3645 2005-10-10
1316932205 Christopher W. Sholes Internal Medicine 311 Princeton Rd, Suite 7, Johnson City, TN 37601-2026 2005-09-16
1710988266 Hisham Kashou Internal Medicine 30 Harrison St Ste 250, Johnson City, NY 13790-2176 2005-08-09
1134782170 Living Water Vein Institute, P.C. Internal Medicine 2800 Peoples St Ste 80, Johnson City, TN 37604-4158 2019-04-16
1003273251 Blue Ridge Medical Management Corporation Internal Medicine 400 N State of Franklin Rd, Room Lk015, Johnson City, TN 37604 2016-01-19
1912325242 Manar H Jbara Internal Medicine 329 N State of Franklin Rd, Johnson City, TN 37604-6062 2014-04-03
1790114924 Rasha Aurshiya Internal Medicine 30 Harrison St Ste 250, Johnson City, NY 13790-2176 2013-11-07
1568760544 Karing Hearts Cardiology, Pllc Internal Medicine 701 N State of Franklin Rd, Suite 2, Johnson City, TN 37604-3645 2011-03-01
Find all providers in JOHNSON CITY

Competitor

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City JOHNSON CITY
Zip Code 13790

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Dataset Information

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.

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