VITA CENTER FOR WOMEN, LLC (NPI# 1801194592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801194592 |
Entity Type | Organization |
Organization Name | VITA CENTER FOR WOMEN, LLC |
Practice Address |
544 W Pershing Rd Suite A Decatur IL 62526 |
Practice Telephone | 2178722400 |
Practice Fax Number | 2178722401 |
Mailing Telephone | 2178722400 |
Mailing Fax Number | 2178722401 |
Enumeration Date | 2011-03-04 |
Last Update Date | 2017-11-08 |
Authorized Official Name | DR. JEFFREY S PFEIFFER (OWNER) |
Authorized Official Telephone | 2178722400 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
036104247 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036104247 | 05 |
Street Address |
544 W PERSHING RD SUITE A |
City | DECATUR |
State | IL |
Zip Code | 62526 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700865268 | Carlos Rafael Sierra | Obstetrics & Gynecology | 544 W Pershing Rd, Decatur, IL 62526-3226 | 2006-01-12 |
1831616770 | Sara Lynn Johnson | Obstetrics & Gynecology | 544 W Pershing Rd, Decatur, IL 62526-3226 | 2017-08-22 |
1215398128 | Sara Elaine Abercrombie | Advanced Practice Midwife | 544 W Pershing Rd, Decatur, IL 62526-3226 | 2016-03-19 |
1518333848 | Kathryn Naron | Nurse Practitioner | 544 W Pershing Rd, Decatur, IL 62526-3226 | 2015-08-21 |
1831574987 | Kristen Lee Hufford | Advanced Practice Midwife | 544 W Pershing Rd, Decatur, IL 62526-3226 | 2015-07-29 |
1801236146 | Susan Cassandra Lock | Advanced Practice Midwife | 544 W Pershing Rd, Decatur, IL 62526-3226 | 2013-07-01 |
1851676670 | Meredith A Wessler | Physician Assistant | 544 W Pershing Rd, Suite A, Decatur, IL 62526 | 2011-10-12 |
1558690115 | Debra E Campbell | Advanced Practice Midwife | 544 W Pershing Rd, Decatur, IL 62526-3226 | 2009-12-10 |
1902951841 | Sue Anne Valentine | Nurse Practitioner | 544 W Pershing Rd, Suite A, Decatur, IL 62526 | 2007-01-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
Find all providers in zip 62526 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477795268 | Cynthia Jo Goodman | Obstetrics & Gynecology | 2948 Battle Forrest Dr, Decatur, GA 30034-2760 | 2009-03-25 |
1841393097 | Tyrone Cecil Malloy | Obstetrics & Gynecology | 4201 Rainbow Dr, Decatur, GA 30034-2302 | 2006-09-06 |
1457367070 | Vivian Womens Center, Inc | Obstetrics & Gynecology | 1750 East Lake Shore Dr Suite 320, Anthony O Amiewalan,m.d. Sc, Decatur, IL 62521 | 2006-08-01 |
1629075544 | Juaquita D Callaway | Obstetrics & Gynecology | 2785 Lawrenceville Hwy, Ste 107, Decatur, GA 30033 | 2005-07-07 |
1023423605 | Decatur Womens Healthcare | Obstetrics & Gynecology | 1304 13th Ave Se, Suite C, Decatur, AL 35601-4359 | 2014-06-23 |
1376978007 | G. William Manifold, M.d., P.C. | Obstetrics & Gynecology | 1208 Somerville Rd Se, Decatur, AL 35601-4335 | 2013-09-12 |
1477999571 | Hh Health System Morgan | Obstetrics & Gynecology | 1107 14th Ave Se, Suite 330, Decatur, AL 35601-3309 | 2013-05-15 |
1417209081 | Decatur General Hospital | Obstetrics & Gynecology | 1304 13th Ave Se, Suite C, Decatur, AL 35601-4359 | 2012-10-08 |
1316296411 | Kathleen M. Raviele, Md PC | Obstetrics & Gynecology | 2799 Lawrenceville Hwy, Suite 110, Decatur, GA 30033-2517 | 2012-09-05 |
1417213109 | Emerald Screws | Obstetrics & Gynecology | 1304 13th Ave Se, Decatur, AL 35601-4359 | 2012-04-06 |
Find all providers in DECATUR |
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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.