AGUSTIN V. VITUALLA MD – NPI #1134217029
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

AGUSTIN VITUALLA is a physician located in CAMDEN, TN. NPPES has assigned the NPI number 1134217029 to AGUSTIN VITUALLA on October 10, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 15 years ago on Oct 20, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AGUSTIN VITUALLA below.

The provider associated with this NPI number, 1134217029, has been excluded by the Office of Inspector General.

Those that are excluded can receive no payment from Federal healthcare programs for any items or services they furnish, order, or prescribe. This includes those that provide health benefits funded directly or indirectly by the United States (other than the Federal Employees Health Benefits Plan). Office of Inspector General

NPI Profile for
AGUSTIN V. VITUALLA

NPI Number
1134217029
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
AGUSTIN V. VITUALLA
Credentials
MD
Primary location
135 HOSPITAL DR
CAMDEN, TN 38320
Phone: (731) 584-2117 Fax: (731) 584-3564
Mailing address
PO BOX 625
135 HOSPITAL DR
CAMDEN, TN 38320
Phone: (731) 584-2117 Fax: (731) 584-3564
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for AGUSTIN VITUALLA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTN3021196
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)		 TN 017177

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.