ERIC C VACCO PAC NPI 1831439520

NPI Information

NPI: 1831439520
Provider Name: ERIC C VACCO, PAC
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
3126 N CIVIC CENTER PLZ
SCOTTSDALE, AZ
ZIP 85251
Phone: (480) 874-2040
Get Directions

Eric C Vacco, PAC is a surgical physician assistant in Scottsdale, AZ with 12 years of experience. Eric C Vacco, PAC NPI is 1831439520. 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:

3126 N CIVIC CENTER PLZ
SCOTTSDALE, AZ
ZIP 85251-912
Phone: (480) 874-2040
Fax: (480) 874-2041

The NPI 1831439520 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 2/18/2013 and was last updated on 5/29/2015.

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
1	363AS0400X	Physician Assistant	Surgical	5324	ARIZONA	Yes

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
1	793139	MEDICAID	ARIZONA
2	Z176073	MEDICARE PIN	ARIZONA

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

NPI Synchronization or Removal

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