Vibrant Health PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

10369621-1205 Issued in UT

Legal business name

VIBRANT HEALTH PC

Practice address

1910 Prospector Ave Suite 302
Park City, UT 84060

Phone

(435) 604-0594

Fax

(847) 919-8661

NPI assigned

Jun 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Fatima Vilich, MDNPI 1659341063

Title

Medical Director

Phone

(435) 782-9384

Specialties & licenses 2

Addresses

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/tQB5_7uQVbVZScakpLQEzBwfBS_4PTHH/

Practitioners 1

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

• Fatima Vilich, MD

  • Family Medicine Physician
  • Kamas, UT
  • NPI 1659341063

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659720936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12202 DEER MOUNTAIN BLVD",
            "city": "KAMAS",
            "state": "UT",
            "postal_code": "84036",
            "telephone_number": "435-604-0594",
            "fax_number": "847-919-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 PROSPECTOR AVE SUITE 302",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "84060",
            "telephone_number": "435-604-0594",
            "fax_number": "847-919-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VILICH",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "435-782-9384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036097212",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "10369621-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Lynn Vanleuven, M.D., PH.D.
• Gina Vanluven, HC
• Sarah B Vaughan, PT
• Mary Weaver Veghte, MD
• Linda Simone Vezie, LCSW
• Vision Health Center, Inc.
• Viteon Health PLLC
• Claudia E. Vogl, L.C.S.W.
• Nicholas Von Der Ahe, MD
• Ryan Voss, DPT

• Internal Medicine Physician in Park City, UT
• Providers in Park City, UT by specialty
• Internal Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.