VITALITY WELLNESS (NPI# 1164866737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164866737 |
| Entity Type | Organization |
| Organization Name | VITALITY WELLNESS |
| Practice Address |
5740 Nw 135th St. Oklahoma City OK 73142 |
| Practice Telephone | 4055093095 |
| Practice Fax Number | 4056033450 |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2013-04-25 |
| Authorized Official Name | MR. RON NERAD (CEO/OWNER) |
| Authorized Official Telephone | 4055093095 |
| Is Organization Subpart | Y |
| Parent Organization Name | A |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | VITALITY WELLNESS & REHAB LLC | 187 Wolf Road Suite 101, Albany, Ny 12205 |
| Oregon Corporations, Companies and Business Names | VITALITY WELLNESS ACADEMY | 2320 S 5th St, Lebanon, OR 97355 |
| Vermont Business Registrations | VITALITY WELLNESS CENTER, LLC | 90 Mechanicsville Road, Unit #8, Hinesburg, VT 05461 |
| Virginia Business Entities | Vitality Wellness Institute LLC | 214 Highway 3086, Jenkins, Kentucky 41537 |
| Colorado Business Entities | Vitality Wellness LLC | 11541 River Run Cir., Henderson, CO 80640 |
| Colorado Business Entities | Vitality Wellness of Denver | 300 South Jackson St Ste 100, Denver, CO 80209 |
| Oklahoma Business Registrations | VITALITY WELLNESS, LLC | 1509 Irvine Dr, Edmond, OK 73025 |
| Street Address |
5740 NW 135TH ST. |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184003790 | Advance Physicians Group LLC | Clinic/Center | 13401 N Macarthur Blvd, Oklahoma City, OK 73142 | 2015-05-28 |
| 1366840084 | Lindsey Jackson | Case Manager/Care Coordinator | 12051 Parkland Pl, Oklahoma City, OK 73142 | 2014-12-11 |
| 1356694558 | Joel Mitchell Sprinkle | Community Health Worker | 13100 Brandon Pl, Oklahoma City, OK 73142 | 2012-10-25 |
| 1689923856 | Sampson Mcsidney | Case Management | 14717 Hollyhock Dr, Oklahoma City, OK 73142 | 2012-09-04 |
| 1992087860 | Derek Reed Mccarver | Pharmacist | 1400 E. 2nd St, Edmond, OK 73142 | 2011-09-15 |
| 1326335811 | Laser Spine Surgery Center of Oklahoma, LLC | Clinic/Center | 4727 Gaillardia Parkway, Suite 150, Oklahoma City, OK 73142 | 2011-07-05 |
| 1215220801 | James Kenneth Fisher | Psychologist | 12522 Abbotts Way, Oklahoma City, OK 73142 | 2011-05-16 |
| 1174850408 | Diagnostic Laboratory of Oklahoma, LLC | Clinical Medical Laboratory | 5911 West Memorial Road, Oklahoma City, OK 73142 | 2009-11-06 |
| 1417113275 | Reuben Seth Thomas | Optometrist | 6200 W Memorial Rd Ste A, Oklahoma City, OK 73142 | 2008-07-31 |
| 1346448644 | Andrea Sage Miller | Internal Medicine | 13150 North Macarthur, Oklahoma City, OK 73142 | 2007-07-07 |
| Find all providers in zip 73142 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992008072 | Arthritis & Rheumatology Center of Oklahoma | Clinic/Center | 1111 N Lee Ave Ste 249, Oklahoma City, OK 73103-2600 | 2010-12-13 |
| 1598072050 | Health Watch Medical Center | Clinic/Center | 1924 N Portland Ave, Oklahoma City, OK 73107-1532 | 2010-09-04 |
| 1609821370 | Rhea Health LLC | Clinic/Center | 1421 S Council Rd, Oklahoma City, OK 73128-9504 | 2006-05-23 |
| 1407327851 | Oklahoma Health and Wellness 97 | Clinic/Center | 5700 N Portland Ave Ste 102, Oklahoma City, OK 73112-1662 | 2018-12-11 |
| 1467972729 | Shawnaree L. Lee, Do Pllc | Clinic/Center | 3433 Nw 56th St Ste 210b, Oklahoma City, OK 73112-4445 | 2017-06-27 |
| 1912448754 | Revive Hormone Clinic Pllc | Clinic/Center | 13316 S Western Ave, Suite F, Oklahoma City, OK 73170-7302 | 2017-03-13 |
| 1558603738 | Kp Medical Group, LLC | Clinic/Center | 2301 W I 44 Service Rd, Suite 300, Oklahoma City, OK 73112-8729 | 2013-03-26 |
| 1205105780 | Brain & Eye Connection Vision Clinic, PC | Clinic/Center | 1530 Sw 89th St, Ste D2, Oklahoma City, OK 73159-6366 | 2011-12-29 |
| 1639321110 | Concentra Health Services, Inc. | Clinic/Center | 7100 S. I-35 Service Road, Suite 7, Oklahoma City, OK 73149-2740 | 2008-10-16 |
| 1649422122 | Concentra Health Services, Inc. | Clinic/Center | 36 West Memorial Rd., Suite C3, Oklahoma City, OK 73114-2325 | 2008-10-16 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73142 |
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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.