DR. ALEJANDRA MARIA ESCOBAR VASCO MD NPI 1770062630

NPI Information

  • NPI: 1770062630
  • Provider Name: DR. ALEJANDRA MARIA ESCOBAR VASCO, MD
  • Classification: Pediatrics - 2080P0207X
  • Specialization: Pediatric Hematology-Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 330 BARCLAY AVE NE STE 300
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (616) 391-8810

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NPI Details

DR. Alejandra Maria Escobar Vasco, MD is a pediatric hematology-oncology pediatrics in Grand Rapids, MI. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. DR. Alejandra Maria Escobar Vasco, MD NPI is 1770062630. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

330 BARCLAY AVE NE STE 300
GRAND RAPIDS, MI
ZIP 49503-527
Phone: (616) 391-8810
Fax: (616) 391-8897

The NPI 1770062630 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 8/11/2018 and was last updated on 8/13/2024.

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
1208000000XPediatrics4301116105MICHIGANNo
22080P0207XPediatricsPediatric Hematology-Oncology75236-20WISCONSINYes

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
11770062630MEDICAIDWISCONSIN

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: 3/30/2025

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