Lope a Vitangcol Jr MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4301040457 Issued in MI

Legal business name

LOPE A VITANGCOL JR MD PC

Practice address

450 Medical Park Dr Ste 100
Watervliet, MI 49098-8549

Phone

(269) 463-6490

Fax

(269) 463-6454

NPI assigned

Mar 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lope A Vitangcol Jr., MDNPI 1962480228

Title

President

Phone

(269) 473-3402

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lope Alvaran Vitangcol Jr., M.D.

  • Surgery Physician
  • Watervliet, MI
  • NPI 1962480228
  NPD (past) Authorized official

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1891967428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8740 N BLUFFVIEW DR",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031490",
            "telephone_number": "269-473-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MEDICAL PARK DR STE 100",
            "city": "WATERVLIET",
            "state": "MI",
            "postal_code": "490988549",
            "telephone_number": "269-463-6490",
            "fax_number": "269-463-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOPE A VITANGCOL JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "VITANGCOL",
        "authorized_official_first_name": "LOPE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-473-3402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301040457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeland Community Hospital Watervliet
• Lakeland Community Hospital Watervliet
• Lakeland Hospitals at Niles and St Joseph, Inc
• LDBH, LLC
• Alfonso Generalao Llanto, MD
• Angelique Madison, FNP
• Joseph Mashni, FNP
• Megan McQuillan
• Danielle L Melford, PHARMD
• Araceli Cempron Mesiona-Brucal, M.D.

• Surgery Physician in Watervliet, MI
• Providers in Watervliet, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.