DR. VANESSA L PITTS (NPI# 1588691687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588691687 |
| Entity Type | Individual |
| Full Name | DR. VANESSA L PITTS |
| Credential | M.D. |
| Practice Address |
2500 W Reynolds St Pontiac IL 61764-9774 |
| Mailing Address |
1228 Panther Creek Rd El Paso IL 61738-9314 |
| Practice Telephone | 8158422828 |
| Mailing Telephone | 3092612296 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
036-066740 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036066740-1 | 05 | |
| IL | BC/BS | 05721369 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
| Street Address |
2500 W REYNOLDS ST |
| City | PONTIAC |
| State | IL |
| Zip Code | 61764-9774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790735421 | Saint James Hospital | Emergency Medicine | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2006-05-11 |
| 1003421660 | Emily Ruff | Occupational Therapist | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2020-09-10 |
| 1760012637 | Stacey M Merrill | Nurse Practitioner | 2500 W Reynolds St, Pontiac, IL 61764-9784 | 2020-01-20 |
| 1699325514 | Brittany Nicole Bursott | Nurse Practitioner | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2019-09-12 |
| 1912561960 | Tessa Claire Hayes | Nurse Practitioner | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2019-04-25 |
| 1346708435 | Karissa Ann Neihouser | Physical Therapist | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2019-03-07 |
| 1659848612 | Melissa Horning | Specialist/Technologist | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2018-10-29 |
| 1497221840 | Allison Lynn Perkins | Occupational Therapist | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2018-10-23 |
| 1255818258 | Justin Ray Hayes | Registered Nurse | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2018-07-23 |
| 1083104137 | Nicole M. Jack | Physician Assistant | 2500 W Reynolds St, Pontiac, IL 61764 | 2018-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497165211 | Barbara Kay Browning | Counselor | 310 E. Torrance Ave, Pontiac, IL 61764 | 2014-05-01 |
| 1407287121 | Institute for Human Resources of Livingston County, Il | Community/Behavioral Health | 301 E Torrance Ave, Pontiac, IL 61764 | 2013-12-05 |
| 1982031241 | Annette G Franzen | Psychologist | 700 W Lincoln St # 406, Pontiac, IL 61764 | 2013-10-02 |
| 1871739185 | Woodridge of Ponitac LLC | Assisted Living Facility | 120 North Deerfield Road, Pontiac, IL 61764 | 2008-12-17 |
| 1861601171 | William Earl Hammond | Chiropractor | 210b Ladd, Pontiac, IL 61764 | 2007-05-22 |
| 1932259983 | Amy Duffy | Counselor | 210 W Water St Ste 1, Pontiac, IL 61764 | 2007-01-11 |
| 1326123340 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1034 W. Reynolds Street, Pontiac, IL 61764 | 2006-10-26 |
| 1205932977 | Gary Merl Leverton | Dentist | 518 West Madison St, Pontiac, IL 61764 | 2006-09-16 |
| 1891899886 | Robert E Heins | Family Medicine | 520 West Madison, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| 1710081708 | Kenneth N Jordan | Family Medicine | 520 West Madison Street, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| Find all providers in zip 61764 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790735421 | Saint James Hospital | Emergency Medicine | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2006-05-11 |
| 1548784440 | Hannah M Smedes | Emergency Medicine | 1200 N Telegraph Rd, Pontiac, MI 48341-1032 | 2017-08-01 |
| 1265553556 | Christopher Phillip Steinacker | Emergency Medicine | 50 N Perry St, Pontiac, MI 48342-2217 | 2007-04-03 |
| 1053409185 | Jennifer Ann Freij | Emergency Medicine | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2006-10-11 |
| 1790760130 | Robert Faber | Emergency Medicine | 50 N Perry St, Pontiac, MI 48342-2217 | 2005-12-08 |
| 1306821756 | Tressa K Gardner | Emergency Medicine | 50 N Perry St, Pontiac, MI 48342-2217 | 2005-12-08 |
| 1801870654 | Robert T May | Emergency Medicine | 50 N Perry St, Pontiac, MI 48342-2217 | 2005-12-05 |
| 1790769545 | Brad A Blaker | Emergency Medicine | 50 N Perry St, Pontiac, MI 48342-2217 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033760715 | Michael James Doolin | Emergency Medicine | 1338 S Clinton St, Chicago, IL 60607-5037 | 2019-09-24 |
| 1578091971 | The Board of Trustee for The University of Illinois | Emergency Medicine | 10000 West O'hare, Terminal 2, Chicago, IL 60660-0508 | 2017-05-30 |
| 1669712808 | Kathryn Theresa Pajak | Emergency Medicine | 5659 S Oak Park Ave, Chicago, IL 60638-3227 | 2013-02-26 |
| 1174832976 | Craig William Dean | Emergency Medicine | 155 N Harbor Dr Apt 309, Chicago, IL 60601-7386 | 2010-09-28 |
| 1770809881 | King, Ltd | Emergency Medicine | 9332 S Vanderpoel Ave, Chicago, IL 60643-5852 | 2010-04-14 |
| 1306098231 | Robert Dietz Tetik | Emergency Medicine | 2272 95th St Ste 106, Naperville, IL 60564-8942 | 2008-10-22 |
| 1831384643 | Primus Trauma Care LLC | Emergency Medicine | 1304 Franklin Avenue, Normal, IL 61761 | 2007-09-14 |
| 1245355411 | Pekin Memorial Hospital | Emergency Medicine | 600 So 13th Street, Pekin, IL 61554-4969 | 2007-03-20 |
| 1396879268 | Nanci A Cherry | Emergency Medicine | 7419 Bell Harbour Dr, Rockford, IL 61114-6600 | 2007-03-15 |
| 1972609782 | Jennifer Lynn Webb | Emergency Medicine | 15730 Robert Louis Dr, Plainfield, IL 60544-2146 | 2006-09-16 |
| 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.