Vincent R. Elie MD, PLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

VE 057786 Issued in MI

Legal business name

VINCENT R. ELIE MD, PLC

Practice address

105 1/2 S Main St
Chelsea, MI 48118-1265

Phone

(734) 417-7054

Fax

(734) 433-1548

NPI assigned

May 20, 2011

Organization subpart

No

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

Authorized official

Name

Vincent R Elie, MD

Title

Sole Member/Physician

Phone

(734) 417-7054

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1497048649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 1/2 S MAIN ST",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181265",
            "telephone_number": "734-417-7054",
            "fax_number": "734-433-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 1/2 S MAIN ST",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181265",
            "telephone_number": "734-417-7054",
            "fax_number": "734-433-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT R. ELIE MD, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-20",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "ELIE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE MEMBER/PHYSICIAN",
        "authorized_official_telephone_number": "734-417-7054",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "VE 057786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4284888",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1740213115",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "VE057786",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID NUMBER",
            "identifier": "ON 260970",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "108123621",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Howard R Usitalo, M.D.
• Shea Barbara Vanvuuren, PHARM. D.
• Nicole Vergeldedios, LMSW, LISW
• Elise Catherine Vickers, PA-C
• Julia Villarreal
• Jennifer Vogel, CPHT
• Susan Ruth Vredeveld, OTR
• Mary Wagner
• Kelsey Wagoner, PT, DPT
• Jarred Waite

• Internal Medicine Physician in Chelsea, MI
• Providers in Chelsea, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.