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RUSSELL ANTHONY INCATASCIATO D.O. NPI 1063500783


NPI Information

NPI: 1063500783
Provider Name: RUSSELL ANTHONY INCATASCIATO, D.O.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4402 SHIPYARD BLVD
WILMINGTON, NC
ZIP 28403
Phone: (910) 452-1400
Get Directions

Russell Anthony Incatasciato, D.O. is an emergency medicine in Wilmington, NC. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Russell Anthony Incatasciato, D.O. NPI is 1063500783. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4402 SHIPYARD BLVD
WILMINGTON, NC
ZIP 28403-161
Phone: (910) 452-1400
Fax: (910) 791-9626

The NPI 1063500783 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 11/24/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine9900882NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12059145MEDICARE PINNORTH CAROLINA
22059145AMEDICARE PINNORTH CAROLINA
3Q09872MEDICAIDSOUTH CAROLINA
4P00374412OTHERNORTH CAROLINARAILROAD MEDICARE
5G89090MEDICARE UPINNORTH CAROLINA
61199VOTHERNORTH CAROLINABCBS
7891199VMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.