Vitality Me

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

42143020 Issued in WI

Legal business name

VITALITY ME

Practice address

300 N Commercial St
Suite 2
Neenah, WI 54956-2619

Phone

(920) 886-0818

NPI assigned

Feb 18, 2013

Last updated

Feb 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Faith L Keefer

Title

Billing

Phone

(920) 886-0818

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1588904270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562619",
            "telephone_number": "920-886-0818",
            "fax_number": "920-886-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N COMMERCIAL ST",
            "address_2": "SUITE 2",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562619",
            "telephone_number": "920-886-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY ME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "KEEFER",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "920-886-0818"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "421430202",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WI",
            "license": "42143020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "42143-020",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin Viebahn, MD
• Vigilant Partners, S.C.
• Trey Vincent
• Sagar Jitendra Vishal, M.D.
• Vital Anesthesia Associates SC
• Robert Elmer Vlach Jr., M.D.
• Kirsten E Volz
• Kevin Voss, O.D.
• Janelle Marie Vulgamore, MA, CCC-SLP
• Yevgeniy Vvedenskiy, MD

• Medical Specialty Clinic/Center in Neenah, WI
• Providers in Neenah, WI by specialty
• Medical Specialty Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.