Anthony S Vitelli, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD020088E Issued in PA

Practice address

Ft Defiance PHS Hospital
Corner N12 and N7
Ft Defiance, AZ 86504

Phone

(928) 729-8000

NPI assigned

Nov 6, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• DHHS PHS Naihs Fort Defiance Hospital

  • General Acute Care Hospital
  • Fort Defiance, AZ
  • NPI 1700962131
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407935745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2177",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865042177",
            "telephone_number": "928-729-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FT DEFIANCE PHS HOSPITAL",
            "address_2": "CORNER N12 AND N7",
            "city": "FT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "928-729-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITELLI",
        "first_name": "ANTHONY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD020088E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "833980",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56283881",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa A Vanhevel, DO
• Rudolph Martinez Verdugo I, RESPIRATORY THERAPIS
• Beth Vermont, M.D.
• Marco Antonio Vidaurri, PHARMD
• James M Villareal, MD
• My-Ngoc Thi Vo, DMD
• Lyubov Vovk, RD
• Heather Waghelstein, ANP
• Wagon Express Professional Transport, LLC
• Wagon Trail Professional Transport LLC

• Internal Medicine Physician in Ft Defiance, AZ
• Providers in Ft Defiance, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.