Vitae Health Medical Ohio LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VITAE HEALTH MEDICAL OHIO LLC

Practice address

599 S Shawnee St
Lima, OH 45804-1461

Phone

(419) 227-2154

NPI assigned

Jan 31, 2023

Organization subpart

No

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

Authorized official

Name

Yitzchak Freund

Title

Chief Operating Officer

Phone

(224) 777-8045

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paulette Hennon, FNP-C

  • Family Nurse Practitioner
  • Lima, OH
  • NPI 1992402820
  Medicare reassignment NPD
• Colby Meuleman

  • Family Nurse Practitioner
  • Lima, OH
  • NPI 1629732102
  Medicare reassignment NPD
• Ellie Thomas, FNP-BC

  • Family Nurse Practitioner
  • Cincinnati, OH
  • NPI 1093463275
  Medicare reassignment NPD
• Amish M Patel, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Norridge, IL
  • NPI 1457502619
  NPD (past)

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1093421208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W GOLF RD STE 26",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053923",
            "telephone_number": "224-777-8045",
            "fax_number": "312-312-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 S SHAWNEE ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458041461",
            "telephone_number": "419-227-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAE HEALTH MEDICAL OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "FREUND",
        "authorized_official_first_name": "YITZCHAK",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "224-777-8045"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shasta Vernon, OTA
• Laine Alexa Vicarel, PHARMD, RPH
• Kiana Lynn Vickery, LSW
• Victress Health and Wellness LLC
• Vision Center of Lima, LLC
• Kelly Voice, OTR/L
• Marianne Ruth Voigt, APRN-CNM
• Michael Vollmar, LICDC
• Volunteers of America Care Facilities
• Douglas Patrick Vondrell

• Internal Medicine Physician in Lima, OH
• Providers in Lima, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.