AILEEN JO VITANGCOL (NPI# 1457567935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457567935 |
| Entity Type | Individual |
| Full Name | AILEEN JO VITANGCOL |
| Credential | M.D. |
| Practice Address |
2002 S 11th St Niles MI 49120-4074 |
| Practice Telephone | 2696870200 |
| Practice Fax Number | 2696840199 |
| Mailing Telephone | 2696870200 |
| Mailing Fax Number | 2696840199 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2013-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301093128 | MI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | A97605 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1457567935 | 05 |
| Street Address |
2002 S 11TH ST |
| City | NILES |
| State | MI |
| Zip Code | 49120-4074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265478192 | Daniel M Metzger | Specialist | 2002 S 11th St, Niles, MI 49120-4074 | 2006-06-20 |
| 1922621556 | Angela Coleman | Nurse Practitioner | 2002 S 11th St, Niles, MI 49120-4074 | 2020-05-18 |
| 1861988180 | Carrie Lozmack | Nurse Practitioner | 2002 S 11th St, Niles, MI 49120-4074 | 2018-07-10 |
| 1275988867 | Joan Madsen | Nurse Practitioner | 2002 S 11th St, Niles, MI 49120-4074 | 2016-05-02 |
| 1174984413 | Amanda Leigh Mills | Nurse Practitioner | 2002 S 11th St, Niles, MI 49120-4074 | 2016-03-15 |
| 1538592753 | Lakeland Community Hospital Watervliet | Clinic/Center | 2002 S 11th St, Niles, MI 49120-4074 | 2013-08-12 |
| 1164764155 | Jennifer Ann Layman-young | Nurse Practitioner | 2002 S 11th St, Niles, MI 49120-4074 | 2013-03-18 |
| 1083960652 | Lauren-shylene Luna Toscano | Nurse Practitioner | 2002 S 11th St, Niles, MI 49120-4074 | 2012-08-01 |
| 1124394945 | Elizabeth Ann Mcglothlin | Family Medicine | 2002 S 11th St, Niles, MI 49120-4074 | 2012-03-26 |
| 1548588031 | Lakeland Medical Practices | Clinic/Center | 2002 S 11th St, Niles, MI 49120-4074 | 2010-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285652 | The Caerus Group LLC | Clinic/Center | 732 S. 11th St #197, Niles, MI 49120 | 2018-11-27 |
| 1306316971 | Vicki L Yarbro | Physical Therapist | 6 Longmeadow Village Dr. Suite 3, Niles, MI 49120 | 2018-11-27 |
| 1063831469 | Aaron Joseph Lanning | Nurse Practitioner | 42 N Saint Joseph Ave Ste 300, Niles, MI 49120 | 2014-04-14 |
| 1740601186 | Terrianne Klaeren | Occupational Therapist | 1009 Almaugus Drive, Niles, MI 49120 | 2014-01-03 |
| 1124469366 | All Needs Senior Services, Inc. | Home Health | 1723 Pucker Street Dr, Suite A, Niles, MI 49120 | 2013-07-16 |
| 1902105034 | Nile Family Pharmacy LLC | Pharmacy | 70 E. State St., Niles, MI 49120 | 2011-03-15 |
| 1629240734 | Karen L Palmer | Counselor | 115 S St Joseph Ave, Niles, MI 49120 | 2008-03-28 |
| 1124218391 | Melissa A Longley | Social Worker | 333 N. Second Street, Suite 303, Niles, MI 49120 | 2007-07-25 |
| 1841410727 | Periza Zaninovic | Dentist | 123 Marmont Street, Niles, MI 49120 | 2007-04-26 |
| 1477629087 | Stephen Williams Tankersley | Dentist | 226 S Lincoln Ave, Niles, MI 49120 | 2006-11-27 |
| Find all providers in zip 49120 | ||||
| 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 |
|---|---|---|---|---|
| 1750643698 | Matthew James Howard | Pediatrics | 6450 W Touhy Ave, Niles, IL 60714 | 2012-06-15 |
| 1578891578 | Meer Nisengolts | Pediatrics | 7117 W. Greenleaf, Pediatrics, M.d., Niles, IL 60714 | 2009-12-02 |
| 1447356696 | Golf Mill Medical Center Ltd | Pediatrics | 7124 W Touhy Ave, Niles, IL 60714-4526 | 2006-09-15 |
| 1134180540 | Benjamin Michael Pentz Vii | Pediatrics | 150 N Crandon Ave, Niles, OH 44446-3417 | 2006-03-28 |
| 1346223096 | Teresa A Yocum | Pediatrics | 918 Youngstown Warren Rd, Ste C, Niles, OH 44446-4623 | 2005-11-28 |
| 1376743609 | Jalal Rais Dana Md Ltd | Pediatrics | 8780 W Golf Rd, Suite 203, Niles, IL 60714 | 2007-07-24 |
| 1942357371 | Nida B Blankas Hernaez | Pediatrics | 241 Golf Mill Center, Ste 200, Niles, IL 60714 | 2007-01-05 |
| 1952414708 | Jalal Rais Dana | Pediatrics | 8780 W Golf Rd, Niles, IL 60714 | 2006-08-16 |
| 1316952765 | Suburban Pediatrics, Ltd. | Pediatrics | 9101 N Greenwood Ave, Suite 309, Niles, IL 60714-1499 | 2006-07-31 |
| 1215943691 | Sonia Verges | Pediatrics | 9101 N Greenwood Ave, Ste 312, Niles, IL 60714-1499 | 2006-07-31 |
| Find all providers in NILES | ||||
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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.