VITALITY HEALTHCARE PC (NPI# 1770954703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770954703 |
| Entity Type | Organization |
| Organization Name | VITALITY HEALTHCARE PC |
| Practice Address |
5717 Oakland Dr Ste A Portage MI 49024-1116 |
| Practice Telephone | 2693234473 |
| Practice Fax Number | 2693240755 |
| Mailing Telephone | 2693234473 |
| Mailing Fax Number | 2693240755 |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2016-10-05 |
| Authorized Official Name | DR. JAMES T JOSEPH (PRESIDENT) |
| Authorized Official Telephone | 2693234473 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
5717 OAKLAND DR STE A |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871591628 | Jennifer Ellen Kenyon | Physical Therapist | 5717 Oakland Dr, Suite B, Portage, MI 49024-1116 | 2005-07-14 |
| 1316553381 | Shelby Elizabeth Hooley | Chiropractor | 5717 Oakland Dr, Portage, MI 49024-1116 | 2020-09-16 |
| 1801385240 | Angela Marie Brannen | Nurse Practitioner | 5717 Oakland Dr, Portage, MI 49024 | 2018-05-01 |
| 1568811065 | Joshua Kettlewell | Physical Therapist | 5717 Oakland Dr, Portage, MI 49024-1116 | 2016-06-06 |
| 1427418094 | Sarah Brady | Social Worker | 5717 Oakland Dr, Suite A, Portage, MI 49024-1116 | 2016-02-25 |
| 1558720615 | Maribeth Henry | Physical Therapist | 5717 Oakland Dr, Suite B, Portage, MI 49024-1116 | 2016-02-17 |
| 1508269515 | Casey Bennett | Physical Therapist | 5717 Oakland Dr, Portage, MI 49024-1116 | 2014-10-03 |
| 1144632779 | Megan Bly | Physical Therapist | 5717 Oakland Dr, Suite B, Portage, MI 49024-1116 | 2014-06-02 |
| 1366881005 | Rehab Specialists, LLC | Physical Therapist | 5717 Oakland Dr, Suite B, Portage, MI 49024-1116 | 2013-06-16 |
| 1184861676 | David Ritzenthaler | Specialist | 5717 Oakland Dr, Ste B, Portage, MI 49024-1116 | 2009-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| 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 |
|---|---|---|---|---|
| 1831576693 | Bishara Robert Khoury | Family Medicine | 3545 Arbor Blvd Ste E, Portage, IN 46368 | 2015-04-30 |
| 1659567956 | Family Health Center Inc. | Family Medicine | 325 E Centre Ave, Portage, MI 49002-5512 | 2007-09-20 |
| 1679663603 | Stephen V Headley | Family Medicine | 3283 Willowcreek Rd, Portage, IN 46368 | 2006-10-13 |
| 1023114477 | Carolyn Von Maur | Family Medicine | 7901 Angling Road, Suite B-201, Portage, MI 49024 | 2006-09-15 |
| 1013029883 | Primary Care PC | Family Medicine | 3125 Willowcreek Road, Portage, IN 46368 | 2006-08-31 |
| 1467490300 | Northshore Health Centers, Inc. | Family Medicine | 6450 Us Highway 6, Portage, IN 46368-5110 | 2006-06-03 |
| 1578518437 | Vpa PC | Family Medicine | 5104 Lovers Ln, Portage, MI 49002-1558 | 2006-05-22 |
| 1992769285 | Jeffrey M Stevens | Family Medicine | 2725 Airview Blvd Ste 105, Portage, MI 49002 | 2006-04-13 |
| 1598724106 | Beatriz Somoza-blanco | Family Medicine | 2977 County Road Cx, Portage, WI 53901 | 2006-03-22 |
| 1912973942 | Andrew Taylor Putney | Family Medicine | 2901 Hunters Trl, Portage, WI 53901-3403 | 2006-02-28 |
| Find all providers in PORTAGE | ||||
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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.