Vitae Family Care Clinic, L.L.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02827 Issued in IA

Legal business name

VITAE FAMILY CARE CLINIC, L.L.C.

Practice address

1355 50TH St
Suite 100
West Des Moines, IA 50266-1617

Phone

(515) 225-3261

Fax

(515) 225-1944

NPI assigned

Jul 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Carter McKernan, D.O.NPI 1558341628

Title

Physician/Manager/Member

Phone

(641) 203-3548

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

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

• Gregory C McKernan, D.O.

  • Family Medicine Physician
  • West Des Moines, IA
  • NPI 1558341628
  Medicare reassignment NPD Authorized official
• Lindsay Nicole Kurth

  • Health Educator
  • West Des Moines, IA
  • NPI 1225383458
  NPD (past)
• Michelle Eberley McKernan, FCPI

  • Specialist
  • West Des Moines, IA
  • NPI 1790030401
  NPD (past)

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1386909331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 50TH ST",
            "address_2": "SUITE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661617",
            "telephone_number": "515-225-3261",
            "fax_number": "515-225-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 50TH ST",
            "address_2": "SUITE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661617",
            "telephone_number": "515-225-3261",
            "fax_number": "515-225-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAE FAMILY CARE CLINIC, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "MCKERNAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "CARTER",
        "authorized_official_title_or_position": "PHYSICIAN/MANAGER/MEMBER",
        "authorized_official_telephone_number": "641-203-3548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "02827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vibrant SCL, LLC
• Emily Daniela Villanueva
• Jennifer Villegas
• Brandon Vinzant, D.C.
• Tamela Visalden
• Vitae Health Medical Iowa PLLC
• Brett Gaylon Vitzthum, M.S. LMHC
• Barbra D. Vogen, M.S
• Whitney Lynn Vogt, PA
• Jessica Leigh Volk, MS, LMHC, CADC, NCC

• Family Medicine Physician in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.