VINE MEDICAL ASSOCIATES LLC
NPI 1497098651
Internal Medicine - Infectious Disease in Vicksburg, MS

Q: What is Vine Medical Associates LLC's NPI number?

The NPI number for Vine Medical Associates LLC is 1497098651. It was assigned to this organization in the NPPES registry on April 5, 2013.

Q: What is Vine Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Active since April 05, 2013

2100 HIGHWAY 61 N, VICKSBURG, MS 39183(601) 883-5000 Get Directions Write a Review

NPPES record last updated: April 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Vine Medical Associates Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VINE MEDICAL ASSOCIATES LLC (NPI 1497098651) is a healthcare organization registered as an infectious disease in Vicksburg, Mississippi and active in the NPI registry since April 2013. The organization lists Olatunji Oluwatade, Ceo, as its authorized official.

NPPES Registry Identity

NPI1497098651

Entity TypeOrganization

Primary Taxonomy207RI0200X

Legal Business NameVINE MEDICAL ASSOCIATES LLC

Location Address2100 HIGHWAY 61 NVicksburg, MS 39183-8211

Mailing AddressPo Box 1547Sedalia, MO 65302-1547 · (660) 826-5960

Phone(601) 883-5000

Organization SubpartNo

Authorized OfficialOlatunji OluwatadeCeo · (601) 883-5000

Enumeration DateApril 5, 2013

✔ NPI 1497098651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

2100 HIGHWAY 61 N, Vicksburg, MS 39183

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MICHAEL J MCREYNOLDS CRNA

Nurse Anesthetist, Certified Registered