DR. NEIL VITALE (NPI# 1326156787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326156787 |
| Entity Type | Individual |
| Full Name | DR. NEIL VITALE |
| Credential | M.D. |
| Practice Address |
1200 E Pecan St Altus OK 73521-6141 |
| Practice Telephone | 5803795547 |
| Mailing Telephone | 5803795547 |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2014-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 029104 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 00129104 | 05 | |
| CT | HEALTHNET | 0R0487 | 01 |
| CT | BLUECROSS BLUESHIELD | 010029104CT01 | 01 |
| CT | CONNECTICARE | 0029104 | 01 |
| CT | OXFORD | NHP111 | 01 |
| Street Address |
1200 E PECAN ST |
| City | ALTUS |
| State | OK |
| Zip Code | 73521-6141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569844 | Holly Register | Nurse Anesthetist, Certified Registered | 1200 E Pecan St, Altus, OK 73521-6141 | 2005-06-22 |
| 1912514191 | Blair Durae Testerman | Speech-Language Pathologist | 1200 E Pecan St, Altus, OK 73521-6192 | 2020-09-30 |
| 1023625050 | Shelby Daniel | Occupational Therapy Assistant | 1200 E Pecan St, Altus, OK 73521-6192 | 2020-09-24 |
| 1376154666 | Susan Elizabeth Spirlock | Physical Therapist | 1200 E Pecan St, Altus, OK 73521-6141 | 2020-08-11 |
| 1962033837 | Kristina Nicole Calonge | Occupational Therapy Assistant | 1200 E Pecan St, Altus, OK 73521-6141 | 2020-01-30 |
| 1265063234 | Taylor Danielle Stubbs | Physical Therapy Assistant | 1200 E Pecan St, Altus, OK 73521-6192 | 2020-01-29 |
| 1568021475 | Brianna L Jackson | Occupational Therapist | 1200 E Pecan St, Altus, OK 73521-6192 | 2019-06-13 |
| 1295229623 | Amanda Jean Werneke | Nurse Anesthetist, Certified Registered | 1200 E Pecan St, Altus, OK 73521 | 2018-06-19 |
| 1275036691 | Jamie Koeritz | Physical Therapist | 1200 E Pecan St, Altus, OK 73521-6141 | 2018-03-12 |
| 1710486733 | Corrie Suzanne Driggers Gossett | Registered Nurse | 1200 E Pecan St, Altus, OK 73521-6141 | 2018-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982263752 | Shortgrass Community Health Center, Inc | Clinic/Center | 211 East Broadway, Altus, OK 73521 | 2019-06-06 |
| 1598025827 | Dustin James Robins | Counselor | 1052 E Cherry St, Altus, OK 73521 | 2012-05-21 |
| 1831471101 | Manda Lea Stephens | Nurse Practitioner | 205 S. Park Lane, Altus, OK 73521 | 2011-09-13 |
| 1649439167 | Lisa Michelle Shelton | Pharmacist | 2500 N Main, Altus, OK 73521 | 2008-06-09 |
| 1114192911 | Richard G. Henry | Health Maintenance Organization | 112 Val Verde, Altus, OK 73521 | 2008-04-23 |
| 1194881060 | Resters Diabetic Shoes and Home Medical | Durable Medical Equipment & Medical Supplies | 103 West Commerce Street, Altus, OK 73521 | 2006-12-28 |
| 1265592141 | Noble L Ballard.medical Clinic, Pllc | Family Medicine | 1015 East Broadway Street, Stuite 101, Altus, OK 73521 | 2006-12-11 |
| 1457377822 | Comanche County Healthcare | Family Medicine | 3000 N Main St, Suite A, Altus, OK 73521 | 2006-07-15 |
| 1326095381 | Charles C Carter Md Dph Pllc | Family Medicine | 1015 E Broadway St, Suite 102, Altus, OK 73521 | 2006-05-27 |
| 1013988179 | Carol Marie Sherman | Family Medicine | 205 S Park Ln, Altus, OK 73521 | 2006-01-27 |
| Find all providers in zip 73521 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336554310 | James Robert Campbell IIi | Pediatrics | 301 N 1st St, Altus, OK 73523-5004 | 2014-06-27 |
| 1902164916 | Lindsey Nicole King | Pediatrics | 101 S Park Ln, Altus, OK 73521-5731 | 2012-04-26 |
| 1801195367 | Joshua Ryan Berg | Pediatrics | 301 N 1st St, Altus, OK 73523-5004 | 2011-03-23 |
| 1962670364 | Kristen Marie Savath | Pediatrics | 101 S Park Ln, Altus, OK 73521-5731 | 2008-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457972366 | Saint Medical Group, LLC | Pediatrics | 3400 S Douglas Blvd Ste 307a, Oklahoma City, OK 73150-1001 | 2020-05-01 |
| 1326674177 | Premier Pediatric and Adolescent Care of Bixby | Pediatrics | 7814 E 121st St, Bixby, OK 74008 | 2020-03-12 |
| 1174180137 | Iorga Pediatrics LLC | Pediatrics | 201 N Monte Vista St Ste C, Ada, OK 74820-7220 | 2019-05-24 |
| 1851868863 | Okc Kids Urology Pllc | Pediatrics | 3705 Nw 63rd St Ste 211, Oklahoma City, OK 73116-1937 | 2018-10-28 |
| 1679067664 | Laurie Ann Alfrey | Pediatrics | 1025 E 18th St, Tulsa, OK 74120-7406 | 2018-06-21 |
| 1700380268 | Katherine Ann Brashears | Pediatrics | 6628 Fawn Canyon Dr, Oklahoma City, OK 73162-6759 | 2018-03-20 |
| 1114468436 | Vanessa Boshuizen | Pediatrics | 12020 E 31st St, Tulsa, OK 74146-2001 | 2017-03-20 |
| 1255870820 | Caitlin Schaede | Pediatrics | 601 E 13th St Ste A, Grove, OK 74344-2962 | 2017-02-15 |
| 1407390115 | Empower Pediatrics | Pediatrics | 9659 Riverside Pkwy, Tulsa, OK 74137-7398 | 2016-12-14 |
| 1528417409 | Valley Family Clinic Inc | Pediatrics | 106 Burr Ave, Pauls Valley, OK 73075-3848 | 2016-06-10 |
| Find all providers with the same taxonomy | ||||
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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.