| Vitality Visiting Physicians, Pllc | |
|
29217 Ford Rd Ste 109 Garden City MI 48135-2890 | |
| (248) 862-5311 | |
| (248) 671-0175 |
| Full Name | Vitality Visiting Physicians, Pllc |
|---|---|
| Speciality | General Practice |
| Location | 29217 Ford Rd Ste 109, Garden City, Michigan |
| Authorized Official Name and Position | Varsha Baldridge (OWNER) |
| Authorized Official Contact | 2488625311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Visiting Physicians, Pllc 4007 Carpenter Rd # 391 Ypsilanti MI 48197-9644 Ph: (248) 862-5311 | Vitality Visiting Physicians, Pllc 29217 Ford Rd Ste 109 Garden City MI 48135-2890 Ph: (248) 862-5311 |
| NPI Number | 1073230876 |
|---|---|
| Provider Enumeration Date | 10/21/2022 |
| Last Update Date | 06/19/2026 |
| Medicare PECOS PAC ID | 2961870969 |
|---|---|
| Medicare Enrollment ID | O20221123000751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073230876 | NPI | - | NPPES |
| Provider Name | Ralph J Tidalgo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427168525 PECOS PAC ID: 3274513478 Enrollment ID: I20040722000488 |
| Provider Name | Kathleen A Stever |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851694327 PECOS PAC ID: 8527025089 Enrollment ID: I20041216000061 |
| Provider Name | Robert J Green |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093838666 PECOS PAC ID: 5890733794 Enrollment ID: I20050421000217 |
| Provider Name | Shahzad S Qureshi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558588582 PECOS PAC ID: 8022184688 Enrollment ID: I20080904000565 |
| Provider Name | Juan Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003351495 PECOS PAC ID: 3476837212 Enrollment ID: I20170223000453 |
| Provider Name | Mosab R Deen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821339797 PECOS PAC ID: 2668771858 Enrollment ID: I20170613000586 |
| Provider Name | Smitha Georgy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356811822 PECOS PAC ID: 0244570943 Enrollment ID: I20190315001205 |
| Provider Name | Bilal Abdulla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912469701 PECOS PAC ID: 6103169990 Enrollment ID: I20190517001997 |
| Provider Name | Jason John Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487217931 PECOS PAC ID: 8921436478 Enrollment ID: I20200316000770 |
| Provider Name | Varsha Ramesh Baldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497359228 PECOS PAC ID: 9537572144 Enrollment ID: I20201228001434 |
| Provider Name | Esmahan Fayed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346977378 PECOS PAC ID: 3375927890 Enrollment ID: I20220901002432 |
| Provider Name | Nicole Marie Karr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235877531 PECOS PAC ID: 8426427394 Enrollment ID: I20221215002139 |
| Provider Name | Kimberly Ann Ison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215654710 PECOS PAC ID: 4486025491 Enrollment ID: I20230130000324 |
| Provider Name | Mojisola Oyibo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356045280 PECOS PAC ID: 5698133916 Enrollment ID: I20230620000541 |
| Provider Name | Catherine L Tomlinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477273811 PECOS PAC ID: 5395103576 Enrollment ID: I20240829002690 |
Prime Garden City Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6255 Inkster Rd, Suite 101, Garden City, MI 48135 Phone: 734-421-4850 Fax: 734-421-6635 | |
Theramatrix, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5811 Middlebelt Rd, Garden City, MI 48135 Phone: 734-513-7755 Fax: 734-513-2747 | |
Rsf Medical Associates Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 28511 Ford Rd., Garden City, MI 48135 Phone: 734-742-5995 Fax: 734-742-5993 | |
Garden City Family Physicians, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 30900 Ford Rd, Garden City, MI 48135 Phone: 734-524-0920 Fax: 734-524-0921 | |
Independence Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6255 Inkster Rd Ste 101, Garden City, MI 48135 Phone: 248-962-8471 Fax: 248-658-8777 | |
Robin L. Lipski D.o Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6255 Inkster Rd Ste 304, Garden City, MI 48135 Phone: 734-437-9200 Fax: 734-338-9274 |