VITALY JAIME ALALU (NPI# 1033142377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033142377 |
| Entity Type | Individual |
| Full Name | VITALY JAIME ALALU |
| Credential | MD |
| Practice Address |
6944 Lake Worth Rd 2nd Floor Lake Worth FL 33467-2948 |
| Mailing Address |
Po Box 740177 Boynton Beach FL 33474-0177 |
| Practice Telephone | 5617322900 |
| Practice Fax Number | 5617409064 |
| Mailing Telephone | 5617402900 |
| Mailing Fax Number | 5614340598 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2017-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
ME29180 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 065172900 | 05 |
| Street Address |
6944 LAKE WORTH RD 2ND FLOOR |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33467-2948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558350975 | Ronald Mark Levy | Internal Medicine | 6944 Lake Worth Rd, 2nd Floor, Lake Worth, FL 33467-2948 | 2005-10-18 |
| 1831105485 | Michael S Urban | Internal Medicine | 6944 Lake Worth Rd, 2nd Floor, Lake Worth, FL 33467-2948 | 2006-08-01 |
| 1437165172 | Matthew Q Bromer | Internal Medicine | 6944 Lake Worth Rd, 2nd Floor, Lake Worth, FL 33467-2948 | 2006-08-01 |
| 1881629269 | Marisa S Kesselman | Internal Medicine | 6944 Lake Worth Rd, 2nd Floor, Lake Worth, FL 33467-2948 | 2006-07-12 |
| 1194758417 | South Florida Gastroenterology Associates Pa | Internal Medicine | 6944 Lake Worth Rd, 2nd Floor, Lake Worth, FL 33467-2948 | 2006-07-09 |
| 1083678502 | Nirmala Shanmugam | Internal Medicine | 6944 Lake Worth Rd, 2nd Floor, Lake Worth, FL 33467-2948 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891259537 | Paulette Penning | Nurse Practitioner | Clinic 7891 8954 Lantana Rd, Lake Worth, FL 33467 | 2019-01-28 |
| 1700357183 | Dara Gill | Physical Therapist | 9897 Lake Worth Rd Ste 203, Lake Worth, FL 33467 | 2018-12-11 |
| 1609344977 | Farah Edwidge Johanne Sajous | Nurse Practitioner | 9351 Pinto Dr, Lake Worth, FL 33467 | 2018-11-05 |
| 1386110138 | Juliana Escamilla | Massage Therapist | 390 Bennington Lane, Apt B, Lake Worth, FL 33467 | 2018-10-19 |
| 1609369453 | Courtney Kehaulani Linke | Occupational Therapist | 4602 Sandy Cove Ter, Lake Worth, FL 33467 | 2018-06-07 |
| 1821589862 | Matthew James Dowda | Physical Therapy Assistant | 5342 Evening Star Way, Lake Worth, FL 33467 | 2018-05-25 |
| 1053828954 | Ailema Bayola Perez | Dentist | 3935 Jog Rd, Suite 16, Greenacres, FL 33467 | 2018-01-02 |
| 1922517424 | Metro Physical & Occupational Therapy Inc | Occupational Therapist | 9130 Hypoluxo Road, Lake Worth, FL 33467 | 2017-09-27 |
| 1659806826 | Advanced Placement Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 9627 Bergamo Street, Lake Worth, FL 33467 | 2017-04-26 |
| 1700326378 | Doctor's Choice Medical Center, Inc | Clinic/Center | 2994 S Jog Rd Ste A, Greenacres, FL 33467 | 2017-03-02 |
| Find all providers in zip 33467 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306928924 | Cathia Marie Rene | Internal Medicine | 5065 South State Road 7, Suite 201, Lake Worth, FL 33449 | 2006-10-20 |
| 1225062243 | Eisenman & Eisenman,m.d.,llc | Internal Medicine | 5065 State Rd 7, Suite 201, Lake Worth, FL 33449-4615 | 2006-07-10 |
| 1558350975 | Ronald Mark Levy | Internal Medicine | 6944 Lake Worth Rd, 2nd Floor, Lake Worth, FL 33467-2948 | 2005-10-18 |
| 1932107323 | Richard E. Eisenman | Internal Medicine | 5065 State Road 7, Suite 201, Lake Worth, FL 33449-4615 | 2005-07-11 |
| 1356786628 | Jose Manuel Melendez-rosado | Internal Medicine | 5065 S State Road 7 Ste 201, Lake Worth, FL 33449-5439 | 2013-05-01 |
| 1093883282 | Richard F Merzer Md Pa | Internal Medicine | 5511 S Congress Ave, Suite 105, Lake Worth, FL 33462-1140 | 2006-12-04 |
| 1831105485 | Michael S Urban | Internal Medicine | 6944 Lake Worth Rd, 2nd Floor, Lake Worth, FL 33467-2948 | 2006-08-01 |
| 1437165172 | Matthew Q Bromer | Internal Medicine | 6944 Lake Worth Rd, 2nd Floor, Lake Worth, FL 33467-2948 | 2006-08-01 |
| 1881629269 | Marisa S Kesselman | Internal Medicine | 6944 Lake Worth Rd, 2nd Floor, Lake Worth, FL 33467-2948 | 2006-07-12 |
| 1194758417 | South Florida Gastroenterology Associates Pa | Internal Medicine | 6944 Lake Worth Rd, 2nd Floor, Lake Worth, FL 33467-2948 | 2006-07-09 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33467 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.