Vital4Men, PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

VITAL4MEN, PLLC

Practice address

4140 E Baseline Rd
Ste 111
Mesa, AZ 85206-4412

Phone

(480) 825-7615

Fax

(480) 248-7658

NPI assigned

May 4, 2016

Organization subpart

No

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

Authorized official

Name

Todd Dishon

Title

Partner/Member

Phone

(623) 218-1515

Specialties & licenses 2

Addresses

Tax ID family

Vital4Men LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vital4Men, PLLC

  • General Practice Physician
  • Chandler, AZ
  • NPI 1396190724
  NPD tax ID

Locations

Practitioners 1

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

• Donald Ray Middleton, DO

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1306909205
  NPD (past)

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1619323045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 W DEER VALLEY RD",
            "address_2": "STE 115",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822101",
            "telephone_number": "623-218-1515",
            "fax_number": "623-566-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 E BASELINE RD",
            "address_2": "STE 111",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064412",
            "telephone_number": "480-825-7615",
            "fax_number": "480-248-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL4MEN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "DISHON",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PARTNER/MEMBER",
        "authorized_official_telephone_number": "623-218-1515"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visiting Nurses LLC
• Vital Ship Naturopathic Family Medicine
• Vital Turn LLC
• Manuela Vital, A-NP
• Stephen Joseph Vital, D.M.D.
• Vitalis Family Health PLLC
• Vitalis Wellness Center of Phoenix, Az PC
• Vitality Med Spa
• Vitality Medspa, LLC.
• Armando Viterk

• General Practice Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.