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RICHARD J VECELLIO PA-C NPI 1124072301


NPI Information

NPI: 1124072301
Provider Name: RICHARD J VECELLIO, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
119 MARKET PLACE AVE STE D
MOORESVILLE, NC
ZIP 28117
Phone: (704) 801-9140
Get Directions

Richard J Vecellio, PA-C is a medical physician assistant in Mooresville, NC. Richard J Vecellio, PA-C NPI is 1124072301. 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:

119 MARKET PLACE AVE STE D
MOORESVILLE, NC
ZIP 28117-157
Phone: (704) 801-9140
Fax: (704) 801-9141

The enumeration date for this NPI number is 5/20/2006 and was last updated on 5/27/2014.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant102715NORTH CAROLINANo
2363AM0700XPhysician AssistantMedical102715NORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12751522AMEDICARE PINNORTH CAROLINA
2S78695MEDICARE UPIN
3970022547OTHERNORTH CAROLINARR MEDICARE
4NCF666FMEDICARE PINNORTH CAROLINA
5NCF666CMEDICARE PINNORTH CAROLINA
6NCF6660386MEDICARE PINNORTH CAROLINA
7NCF666EMEDICARE PINNORTH CAROLINA
8NCF666DMEDICARE PINNORTH CAROLINA
9NCF666AMEDICARE PINNORTH CAROLINA
10NCF666BMEDICARE PINNORTH CAROLINA
111124072301MEDICAIDNORTH 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: 5/5/2024
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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.

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