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).
| 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 |
| 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 |
| Street Address |
30 HARRISON ST SUITE 250 |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790 |
| 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 |
| Find all providers in the same location | ||||
| 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 Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| 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. |
| 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 | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
Please comment or provide details below to improve the information on DR. MICHAIL VITELLAS.
| 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.