Jeremy A Vitamvas, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001489 Issued in IA

Practice address

5885 Sunnybrook Dr
Sioux City, IA 51106-4203

Phone

(712) 266-2760

Fax

(712) 266-2719

NPI assigned

Jul 1, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Nebraska College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Fremont Health Hospital, Fremont, NE, CCN 280077

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeremy.vitamvas@direct.nmhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physicians Clinic Inc

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1821049156

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Nebraska Methodist Hospital

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1427147883
  NPD
• Shenandoah Doctors Clinic

  • Clinic/Center
  • Shenandoah, IA
  • NPI 1841260346
  NPD (past)
• St Lukes Health Resources

  • Family Medicine Physician
  • Sioux City, IA
  • NPI 1528001492
  NPD (past)
• Haysam Akkad, MD, PC

  • Interventional Cardiology Physician
  • Omaha, NE
  • NPI 1023258795

  Physician Assistant

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Methodist Fremont Health

  • Rural Acute Care Hospital
  • Fremont, NE
  • NPI 1033698543
  Care Compare affiliation
• Methodist Fremont Health

  • Rural Acute Care Hospital
  • Fremont, NE
  • NPI 1376498543
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1003845280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 SUNNYBROOK DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064203",
            "telephone_number": "712-266-2760",
            "fax_number": "712-266-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 SUNNYBROOK DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064203",
            "telephone_number": "712-266-2760",
            "fax_number": "712-266-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITAMVAS",
        "first_name": "JEREMY",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "911858433",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Joy Versteeg, CRNA
• Sally Teresa Vickery, PTA
• Crystal Vigdal, DNAP, RN, CRNA
• Vision Care Clinic, P.C.
• Vision World Inc
• Katharine J. Vlach, MSPT
• Andrea Jean Vogel, RD
• Kurt T Volkert, LMHC
• Julie Vollink, CADC
• Brooke Vollmer, TLMHC

• Physician Assistant in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.