VITALITY AGE MANAGEMENT (NPI# 1609169465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609169465 |
| Entity Type | Organization |
| Organization Name | VITALITY AGE MANAGEMENT |
| Other Organization Name | VITALITY INTERGRATIVE MEDICAL GROUP |
| Practice Address |
1845 W Orange Grove Rd Suite 115 Tucson AZ 85704-1134 |
| Mailing Address |
6890 E Sunrise Dr Suite 120-266 Tucson AZ 85750-0738 |
| Practice Telephone | 8003008464 |
| Practice Fax Number | 9665675331 |
| Mailing Telephone | 1800300846 |
| Mailing Fax Number | 1866567533 |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2011-05-26 |
| Authorized Official Name | DR. MAHESH TIPIRNENI (PARTNER) |
| Authorized Official Telephone | 18003008464 |
| Authorized Official Credential | M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 34480 | AZ | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| VITALITY INTERGRATIVE MEDICAL GROUP | Doing Business As Name - Organization |
| Street Address |
1845 W ORANGE GROVE RD SUITE 115 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85704-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447229802 | Alton Venson Hallum | Obstetrics & Gynecology | 1845 W Orange Grove Rd, Bldg 2, Tucson, AZ 85704 | 2006-03-16 |
| 1972991222 | Arizona Oncology Associates PC | Internal Medicine | 1845 W Orange Grove Rd, Bldg. 2, Tucson, AZ 85704-1144 | 2015-01-08 |
| 1992127682 | Acaciarx | Pharmacy | 1845 W Orange Grove Rd, Suite 115, Tucson, AZ 85704-1134 | 2014-01-14 |
| 1184972895 | Christina Marie Vasquez | Psychologist | 1845 W Orange Grove Rd, Ste 111, Tucson, AZ 85704-1134 | 2012-08-28 |
| 1083971741 | Smi Imaging LLC | Radiology | 1845 W Orange Grove Rd, Bldg 5, Suite 103, Tucson, AZ 85704-1134 | 2012-04-19 |
| 1265728216 | Dr.steven J Abrams,pc | Podiatrist | 1845 W Orange Grove Rd, Suite 125, Tucson, AZ 85704-1134 | 2011-06-28 |
| 1790956415 | Dermatology Northwest LLC | Dermatology | 1845 W Orange Grove Rd, Suite 101, Tucson, AZ 85704-1134 | 2008-03-20 |
| 1194917492 | Catalina Gastroenterology | Internal Medicine | 1845 W Orange Grove Rd, #125, Tucson, AZ 85704-1134 | 2007-08-10 |
| 1952486896 | Frank Javier Valenzuela Jr. | Chiropractor | 1845 W Orange Grove Rd, Suite # 119, Tucson, AZ 85704-1134 | 2006-10-26 |
| 1285734962 | Steven Joel Abrams | Podiatrist | 1845 W Orange Grove Rd, 137, Tucson, AZ 85704-1134 | 2006-09-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176616 | Kimberly Nehls Remblake | Pharmacist | 6488 N Oracle Road, Tuson, AZ 85704 | 2020-08-28 |
| 1114562311 | Sarah Laing | Music Therapist | 314 E Cambridge Drive, Tucson, AZ 85704 | 2019-11-12 |
| 1750876587 | Stephanie Ann Schmid | Nurse Practitioner | 1631 W Ina Rd, Tucson, AZ 85704 | 2018-06-25 |
| 1619468063 | Barnet Dulaney Perkins Eye Center II Pllc | Durable Medical Equipment & Medical Supplies | 10195 N Oracle Rd Ste 125, Oro Valley, AZ 85704 | 2018-05-22 |
| 1639682073 | Tucson Family and Geriatric Medicine LLC | Clinic/Center | 6867 N Oracle Rd Ste 157, Tucson, AZ 85704 | 2017-11-07 |
| 1215448790 | Janelle K Borg | Physical Therapist | 7530 N Oracle Rd Ste 100, Tucson, AZ 85704 | 2017-10-23 |
| 1982122396 | Wellbeing Institute | Pathology | 6879 N. Oracle Road, Suite 125, Tucson, AZ 85704 | 2017-09-06 |
| 1245777481 | Sonora Behavioral Health Hospital, LLC | Clinic/Center | 2001 West Orange Grove Road, Suite 114, 112, 102, Tucson, AZ 85704 | 2017-01-26 |
| 1902252752 | Conrad Drinkwater | Dentist | 9000 N Oracle Rd Ste B, Oro Valley, AZ 85704 | 2016-05-11 |
| 1912375668 | Adrianna Rodriguez | Pharmacist | 4701 N. Stone Ave, Tucson, AZ 85704 | 2015-09-11 |
| Find all providers in zip 85704 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1427679406 | Mario Jaramillo | Internal Medicine | 2800 East Ajo Way Ste 100, Tucson, AZ 85724-5040 | 2020-05-01 |
| 1821633926 | Arunmozhi Dominic | Internal Medicine | 899 N Wilmot Rd # Az, Tucson, AZ 85711-1714 | 2019-11-12 |
| 1437612835 | Michele Amanda Relton Obert | Internal Medicine | 1501 N Campbell Ave Rm 6336i, Tucson, AZ 85724-5040 | 2019-04-11 |
| 1669935441 | Mei Lai So | Internal Medicine | 1501 N Campbell Ave Ste 6336, Tucson, AZ 85724-0001 | 2019-04-09 |
| 1255824363 | Sooraj Kumar | Internal Medicine | 2800 E Ajo Way Ste 100, Tucson, AZ 85713-6204 | 2018-06-13 |
| 1356832125 | Samuel Long | Internal Medicine | 5301 E Grant Rd Ofc, Tucson, AZ 85712-2805 | 2018-05-28 |
| 1295225399 | Ling Yi Obrand | Internal Medicine | Banner Health 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2018-05-14 |
| 1306335161 | Bhargav Patel | Internal Medicine | 1501 N Campbell Ave Rm 636, Tucson, AZ 85724-0001 | 2018-05-08 |
| 1316436975 | Rita Wadeea | Internal Medicine | 1501 N Campell Ave Room 6336, Tucson, AZ 85724-0001 | 2018-05-08 |
| 1881183143 | Bradley Bohman | Internal Medicine | 1501 N. Campbell Ave, Room 6336, Tucson, AZ 85724 | 2018-05-02 |
| Find all providers in TUCSON | ||||
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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.