| Vitality Visiting Physicians, Pllc | |
|
18000 W 9 Mile Rd Ste 650 Southfield MI 48075-4009 | |
| (248) 862-5311 | |
| (248) 243-1888 |
| Full Name | Vitality Visiting Physicians, Pllc |
|---|---|
| Speciality | General Practice |
| Location | 18000 W 9 Mile Rd Ste 650, Southfield, Michigan |
| Authorized Official Name and Position | Robert Green (OWNER) |
| Authorized Official Contact | 2488625311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Visiting Physicians, Pllc 18000 W 9 Mile Rd Ste 650 Southfield MI 48075-4009 Ph: (248) 862-5311 | Vitality Visiting Physicians, Pllc 18000 W 9 Mile Rd Ste 650 Southfield MI 48075-4009 Ph: (248) 862-5311 |
| NPI Number | 1073230876 |
|---|---|
| Provider Enumeration Date | 10/21/2022 |
| Last Update Date | 06/12/2023 |
| Medicare PECOS PAC ID | 2961870969 |
|---|---|
| Medicare Enrollment ID | O20221123000751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073230876 | NPI | - | NPPES |
| Provider Name | Ralph J Tidalgo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427168525 PECOS PAC ID: 3274513478 Enrollment ID: I20040722000488 |
| Provider Name | Kathleen A Stever |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851694327 PECOS PAC ID: 8527025089 Enrollment ID: I20041216000061 |
| Provider Name | Robert J Green |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093838666 PECOS PAC ID: 5890733794 Enrollment ID: I20050421000217 |
| Provider Name | Mosab R Deen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821339797 PECOS PAC ID: 2668771858 Enrollment ID: I20170613000586 |
| Provider Name | Smitha Georgy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356811822 PECOS PAC ID: 0244570943 Enrollment ID: I20190315001205 |
| Provider Name | Bilal Abdulla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912469701 PECOS PAC ID: 6103169990 Enrollment ID: I20190517001997 |
| Provider Name | Jason John Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487217931 PECOS PAC ID: 8921436478 Enrollment ID: I20200316000770 |
| Provider Name | Varsha Ramesh Baldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497359228 PECOS PAC ID: 9537572144 Enrollment ID: I20201228001434 |
| Provider Name | Esmahan Fayed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346977378 PECOS PAC ID: 3375927890 Enrollment ID: I20220901002432 |
| Provider Name | Nicole Marie Karr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235877531 PECOS PAC ID: 8426427394 Enrollment ID: I20221215002139 |
| Provider Name | Kimberly Ann Ison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215654710 PECOS PAC ID: 4486025491 Enrollment ID: I20230130000324 |
| Provider Name | Mojisola Adeboye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356045280 PECOS PAC ID: 5698133916 Enrollment ID: I20230620000541 |
Med-share, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26222 Telegraph Rd, Suite 100, Southfield, MI 48033 Phone: 248-827-7200 Fax: 248-827-2641 | |
Caring Doctors At Home Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29600 Northwestern Highway, Suite 106, Southfield, MI 48034 Phone: 313-258-4855 | |
Maecenas Health Systems Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26677 W 12 Mile Rd, Southfield, MI 48034 Phone: 248-358-6995 | |
Ark Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23999 Northwestern Hwy, Southfield, MI 48075 Phone: 248-924-1429 Fax: 248-419-2431 | |
Laina Feinstein Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 29829 Telegraph Rd, Suite 107, Southfield, MI 48034 Phone: 248-304-0786 Fax: 248-354-8559 | |
Magnum Managment Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17600 W 8 Mile Rd, Suite # 5, Southfield, MI 48075 Phone: 248-424-9749 | |
American Current Care Of Michigan, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26185 Greenfield Rd, Southfield, MI 48076 Phone: 248-569-2040 Fax: 248-569-2048 |