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Export Provider Record NPI 1063641223
Josie VitaleM.D.
Active
NPI Number1063641223
NPI TypeNPI-1 Individual
SpecialtyAllergy & Immunology, Allergy
Provider Details
NPI1063641223
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2009-07-09
Last Updated2016-07-22
Mailing Address9701 Landmark Parkway Dr, Suite 207
Saint Louis, MO 63127-1665
United States
Phone: (314) 849-8700 | Fax: (314) 849-8737
📍 View Map
Primary Practice Address9701 Landmark Parkway Dr, Suite 207
Saint Louis, MO 63127-1665
United States
Phone: (314) 849-8700 | Fax: (314) 849-8737
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No208000000X – PediatricsMO2009014225
Yes207KA0200X – Allergy & Immunology, AllergyMO2012013478
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About NPI 1063641223

Josie Vitale M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063641223. The primary specialty listed is Allergy & Immunology, Allergy. The provider is located in Saint Louis, MO. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-07-09. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063641223?

NPI 1063641223 belongs to Josie Vitale M.D., a Allergy & Immunology, Allergy in Saint Louis, MO. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063641223 active?

The current status of NPI 1063641223 in the NPPES registry is Active. The record was last updated on 2016-07-22.

What specialty is NPI 1063641223?

NPI 1063641223 is classified under the taxonomy Allergy & Immunology, Allergy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1063641223?

You can verify NPI 1063641223 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1063641223?

The primary practice address on file for NPI 1063641223 is 9701 Landmark Parkway Dr, Saint Louis, MO 63127-1665. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063641223 issued?

NPI 1063641223 was first issued (enumerated) on 2009-07-09. The NPPES record was last updated on 2016-07-22.

Practice Location Map

Josie Vitale is located at 9701 Landmark Parkway Dr, Saint Louis, MO. Use the map below to find directions or verify the practice location.

📍 9701 Landmark Parkway Dr, Saint Louis, MO 63127-1665  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Josie Vitale. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1063641223. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pediatrics2009014225MO
Allergy & Immunology, Allergy2012013478MO
Data Verified from CMS NPPES Last synced: 2026-06-17 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162