Gregory J Vitas, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

29427 Issued in MN

Practice address

9825 Hospital Dr Ste 105
Maple Grove, MN 55369-4769

Phone

(763) 780-6699

Fax

(763) 420-0500

NPI assigned

Sep 20, 2006

Last updated

Nov 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gvitas22594@direct.centracare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Metropolitan Surgical Associates, P.a.

  • Surgery Physician
  • Minneapolis, MN
  • NPI 1457438442
  NPD (past)
• North Clinic, PA

  dba Voyage Healthcare

  • Multi-Specialty Clinic/Center
  • Brooklyn Park, MN
  • NPI 1407011760
  NPD (past)
• Ridgeview Medical Center

  • Diagnostic Radiology Physician
  • Waconia, MN
  • NPI 1811174923
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1972600047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 HOSPITAL DR",
            "address_2": "SUITE 105",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694479",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 HOSPITAL DR STE 105",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694769",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 Bottineau Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Crystal",
            "state": "MN",
            "postal_code": "554293184",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11855 Ulysses St NE Ste 210",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "554344181",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "480 Osborne Rd NE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fridley",
            "state": "MN",
            "postal_code": "554322781",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3366 Oakdale Ave N Ste 200",
            "address_purpose": "LOCATION",
            "city": "Robbinsdale",
            "state": "MN",
            "postal_code": "554222962",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Highway 25 N Ste 120",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "MN",
            "postal_code": "553131930",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 39th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554214379",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1495 County Road 101 N",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554473078",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15450 Highway 7 Ste 225",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553453522",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 Catlin St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "MN",
            "postal_code": "553131947",
            "country_code": "US",
            "telephone_number": "763-684-6160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7600 France Ave S Ste 4100",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554356027",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6565 France Ave S Ste 350",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554352159",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7373 France Ave S Ste 408",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554354549",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VITAS",
        "first_name": "GREGORY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "29427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "784598700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gretchen A Voge, MD
• Brett Volin, PT, DPT
• Anthony Troy Vonruden, PT
• Alexandra Ann Vorderbruggen, PA-C

• Surgery Physician in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.