VYTALIZE HEALTH (NPI# 1568083533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568083533 |
| Entity Type | Organization |
| Organization Name | VYTALIZE HEALTH |
| Practice Address |
1071 E Franklin St Carthage MS 39051-3601 |
| Mailing Address |
2 Hudson Pl Fl 6 Hoboken NJ 07030-5594 |
| Practice Telephone | 6012674562 |
| Mailing Telephone | 2012052628 |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-06-26 |
| Authorized Official Name | MR. FARIS GHAWI (CEO / CO-FOUNDER) |
| Authorized Official Telephone | 2012052628 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2 Hudson Pl Fl 6, Hoboken, NJ 070305594 | 2012052628 |
| Street Address |
1071 E FRANKLIN ST |
| City | CARTHAGE |
| State | MS |
| Zip Code | 39051-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932158664 | Manuel Lim Ong Jr. | Emergency Medicine | 1071 E Franklin St, Carthage, MS 39051-3601 | 2006-05-09 |
| 1396252011 | Janet Kelly | Nurse Practitioner | 1071 E Franklin St, Carthage, MS 39051-3601 | 2018-01-03 |
| 1114099439 | Madden Medical Clinic LLC | Clinic/Center | 1071 E Franklin St, Carthage, MS 39051-3601 | 2006-11-14 |
| 1346359197 | David Lawrence Moody | Family Medicine | 1071 E Franklin St, Carthage, MS 39051-3601 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598275828 | Roots Healthcare and Homes, LLC | Meals | 292 Pickens Circle, Carthage, MS 39051 | 2017-09-30 |
| 1427575505 | Trend Health and Rehab of Carthage | Skilled Nursing Facility | 1101 E. Franklin Street, Carthage, MS 39051 | 2017-08-29 |
| 1750738415 | Telehealthone LLC | Nurse Practitioner | 300 South Pearl Street, Carthage, MS 39051 | 2016-05-23 |
| 1316297575 | Silver Lining Adult Daycare, LLC | Respite Care | 531 Highway 35 North, Carthage, MS 39051 | 2012-09-14 |
| 1508179888 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 205 Highway 16 West, Carthage, MS 39051 | 2010-07-15 |
| 1376725754 | Amye L Shamburger | Dentist | 101 S. Pearl Street, Carthage, MS 39051 | 2007-11-28 |
| 1770786188 | Carthage Eye Clinic Pa | Optometrist | 201 Hwy 16 East, Carthage, MS 39051 | 2007-06-06 |
| 1265553762 | David C Henderson | Dentist | 113 North Pearl St, Carthage, MS 39051 | 2007-04-02 |
| 1780722280 | Linda N Roland | Nurse Practitioner | 204 Chipley St., Carthage, MS 39051 | 2007-02-05 |
| 1205914298 | William M Myers II | Dentist | 12646 Hwy 488, Carthage, MS 39051 | 2006-11-01 |
| Find all providers in zip 39051 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790211894 | Meagan White Smith | Family Medicine | 158 Hospital Dr Ste 500, Carthage, TN 37030-1083 | 2017-05-10 |
| 1821419961 | Govathoti Md Services Pllc | Family Medicine | 116 Woodmill Ln, Carthage, TX 75633-2861 | 2013-12-16 |
| 1346684487 | Medstaff PC | Family Medicine | 1129 W Fairview Ave, Carthage, MO 64836-3731 | 2013-04-19 |
| 1679917942 | Medstaff PC | Family Medicine | 1 Leggett Rd, Carthage, MO 64836-9649 | 2013-04-17 |
| 1821386525 | Morlee Burgess | Family Medicine | 133 Hospital Dr Ste 500, Carthage, TN 37030 | 2011-07-14 |
| 1295033595 | Staton Southern Medical, Pllc | Family Medicine | 131 Hospital Drive, Suite 2000, Carthage, TN 37030 | 2011-03-10 |
| 1003006065 | John F Nielsen M D Family Medicine Pa | Family Medicine | 702 Davis St Ste 4, Carthage, TX 75633-1461 | 2007-07-26 |
| 1669514592 | Family Practice Associates, P.c | Family Medicine | 40 Franklin Street, Suite 1, Carthage, NY 13619-1323 | 2007-02-14 |
| 1013086040 | Jim Jason Phillips | Family Medicine | 1410 W Panola St, Carthage, TX 75633-2348 | 2006-11-06 |
| 1215027529 | Roger Mackey Duke | Family Medicine | 131 Hilltop Dr, Carthage, TN 37030-1117 | 2006-10-15 |
| Find all providers in CARTHAGE | ||||
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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.