Vita Wellness LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18489 Issued in OK

Legal business name

VITA WELLNESS LLC

Practice address

2117 N Kelly Ave
Edmond, OK 73003-3908

Phone

(405) 726-2701

Fax

(405) 726-2702

NPI assigned

Dec 20, 2017

Organization subpart

No

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

Authorized official

Name

Todd Anthony Krehbiel, MD

Title

Owner

Phone

(405) 726-2701

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1497261952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 N KELLY AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033908",
            "telephone_number": "405-726-2701",
            "fax_number": "405-726-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 N KELLY AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033908",
            "telephone_number": "405-726-2701",
            "fax_number": "405-726-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "KREHBIEL",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-726-2701",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "18489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.