Organization Active NPI

Vitalcare Telemedicine LLC

  • Family Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1053909705
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Oct 4, 2022

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1760678940OtherTXNPI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2199444Vitalcare Telemedicine15957 Punta Espada Loop, Corpus Christi, TX 78418Certificate of waiverNov 8, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.