Vital4men LLC
NPI 1639443757ActiveOrganization· General Practice· Peoria, AZ
General Practice in Peoria, Arizona, registered in NPPES in March 2012. The authorized official on file is Todd Dishon, Managing Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639443757 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 7, 2012 |
| Last updated in NPPES | Jul 10, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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