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TODD W VITAZ MD NPI 1770576977


NPI Information

NPI: 1770576977
Provider Name: TODD W VITAZ, MD
Classification: Neurological Surgery - 207T00000X
Entity Type: Individual
Organization: SPECTRUM HEALTH PRIMARY CARE PARTNERS

PECOS Registration: Yes

Address:
25 MICHIGAN ST NE
STE 6100
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 267-7900
Get Directions

Todd W Vitaz, MD is a neurological surgery in Grand Rapids, MI with 29 years of experience. The provider is 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. Todd W Vitaz, MD NPI is 1770576977. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:1995

The provider's business location address is:

25 MICHIGAN ST NE
STE 6100
GRAND RAPIDS, MI
ZIP 49503-515
Phone: (616) 267-7900
Fax: (616) 267-7901

The NPI 1770576977 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/24/2005 and was last updated on 2/18/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207T00000XNeurological Surgery4301101710MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000023035GOTHERKENTUCKYHUMANA - NNIKY
2200365220MEDICAIDINDIANA
33637830OTHERKENTUCKYCIGNA - NNIKY
4000000604896OTHERKENTUCKYANTHEM - NNIKY
53694171000OTHERKENTUCKYPASSPORT ADVTG - NNIKY
6047131OTHERKENTUCKYSIHO - NNIKY
7196290EEEEOTHERINDIANAMEDICARE - IN - NNIKY
84301101710MEDICAIDMICHIGAN
9P00711479OTHERKENTUCKYRAILROAD KY MEDICARE - NNIKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.