TODD W VITAZ


Address: 25 Michigan St Ne, Ste 6100, Grand Rapids, MI 49503-2515
Phone: 6162677900

TODD W VITAZ (NPI# 1770576977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770576977
Entity Type Individual
Full Name TODD W VITAZ
Credential MD
Practice Address 25 Michigan St Ne
Ste 6100
Grand Rapids
MI 49503-2515
Mailing Address 100 Michigan St Ne
Mc845
Grand Rapids
MI 49503-2560
Practice Telephone 6162677900
Practice Fax Number 6162677901
Enumeration Date 2005-08-24
Last Update Date 2017-05-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery 4301101710 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 200365220 05
KY PASSPORT ADVTG - NNIKY 3694171000 01
KY ANTHEM - NNIKY 000000604896 01
IN MEDICARE - IN - NNIKY 196290EEEE 01
KY HUMANA - NNIKY 000023035G 01
MI 4301101710 05
KY SIHO - NNIKY 047131 01
KY CIGNA - NNIKY 3637830 01
KY RAILROAD KY MEDICARE - NNIKY P00711479 01

Office Location

Street Address 25 MICHIGAN ST NE
STE 6100
City GRAND RAPIDS
State MI
Zip Code 49503-2515

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639175342 Stephen Christopher Cook Pediatrics 25 Michigan St Ne, Suite 4300, Grand Rapids, MI 49503 2005-06-27
1407412539 Aneta Toma Student in an Organized Health Care Education/Training Program 25 Michigan St Ne, Grand Rapids, MI 49503-2515 2019-05-14
1033673363 Kara Vanderkallen Student in an Organized Health Care Education/Training Program 25 Michigan St Ne, Grand Rapids, MI 49503-2515 2019-01-31
1902391964 Carmen Kagha Family Medicine 25 Michigan St Ne, Grand Rapids, MI 49503-2515 2018-06-22
1700394301 Daniel Jacob Elliott Student in an Organized Health Care Education/Training Program 25 Michigan St Ne, Grand Rapids, MI 49503-2515 2018-01-17
1629585997 Dylan Lee Kosaski Student in an Organized Health Care Education/Training Program 25 Michigan St Ne, Grand Rapids, MI 49503-2515 2018-01-08
1073020343 Rachel Pavona Pharmacy Technician 25 Michigan St Ne, Grand Rapids, MI 49503-2515 2018-01-08
1154842193 Asaf Harris Internal Medicine 25 Michigan St Ne, Suite 2100, Grand Rapids, MI 49503-2526 2017-06-29
1811439763 Danielle Susan Douglass Physician Assistant 25 Michigan St Ne, Suite 6100, Grand Rapids, MI 49503-2515 2016-11-09
1457803751 Anina L Cicerone-carder Physician Assistant 25 Michigan St Ne, Suite 6100, Grand Rapids, MI 49503-2515 2016-11-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801496195 Airway Oxygen, Inc. Durable Medical Equipment & Medical Supplies Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 2020-10-27
1730707282 Adriana Molina-schmuker Counselor 901 Eastern Avenue Ne, Grand Rapids, MI 49503 2020-07-10
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1124647805 Jared Host Speech-Language Pathologist Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 2020-04-13
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
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Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598945644 Justin Charles Clark Neurological Surgery 414 Plymouth Ne, Grand Rapids, MI 49505-6041 2007-11-06
1639201353 David Grant Carr Neurological Surgery 1707 Mont Rue Dr. Se, Grand Rapids, MI 49546 2007-03-09
1225119027 John E. Stevenson Neurological Surgery 414 Plymouth Ave Ne, Grand Rapids, MI 49505-6038 2006-10-18
1811965585 Kent Neurological Associates PC Neurological Surgery 3200 Eagle Park Dr Ne Ste 108, Grand Rapids, MI 49525-7057 2006-03-09
1346215969 Vicente Caldeira Gracias Neurological Surgery 445 Cherry St Se, Grand Rapids, MI 49503-4601 2006-02-17
1053386789 Robert John Seledotis Neurological Surgery 847 Parchment Dr Se Ste 125, Grand Rapids, MI 49546-8623 2006-02-17
1427543487 Leonard Herman Verhey Neurological Surgery 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 2018-06-22
1275055881 Andres Felipe Restrepo Orozco Neurological Surgery 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 2017-07-14
1730634759 Marian Michael Bercu Neurological Surgery 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503 2016-08-19
1831474618 Artur Szymczak Neurological Surgery 35 Michigan St Ne, Suite 3003, Grand Rapids, MI 49503-2528 2011-10-12
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49503

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Dataset Information

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.

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