Active NPI
Vitalcare Telemedicine LLC
- Family Medicine Physician
- Corpus Christi, TX
National Provider Identifier
1053909705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- VITALCARE TELEMEDICINE LLC
- Practice address
- 15957 Punta Espada Loop
Corpus Christi, TX 78418-6626 - Phone
- (361) 214-6367
- Fax
- (779) 204-4430
- NPI assigned
- Jan 7, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Joseph Stith Jr., DO
- Title
- Collaborative Physician
- Phone
- (361) 904-3637
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Adult Medicine Physician | 207QA0505X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
15957 Punta Espada Loop
Corpus Christi, TX 78418-6626
Mailing address
14493 S Padre Island Dr Ste a-5012
Corpus Christi, TX 78418-5931
Phone (361) 214-6367
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760678940 | Other | TX | NPI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2199444 | Vitalcare Telemedicine | Certificate of waiver | Nov 8, 2026 |
National Provider Directory
National Provider DirectoryLocations
3833 S Staples St
Ste N117
Corpus Christi, TX 78411
Phone (361) 356-7390
14493 S Padre Island Dr
Ste A5012
Corpus Christi, TX 78418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664841600000",
"number": "1053909705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14493 S PADRE ISLAND DR STE A-5012",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784185931",
"telephone_number": "361-214-6367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15957 PUNTA ESPADA LOOP",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784186626",
"telephone_number": "361-214-6367",
"fax_number": "779-204-4430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITALCARE TELEMEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-07",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A",
"authorized_official_last_name": "STITH",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "COLLABORATIVE PHYSICIAN",
"authorized_official_telephone_number": "361-904-3637",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1760678940",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.