DR. VINCENT GERALD SACCO (NPI# 1073502308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073502308 |
| Entity Type | Individual |
| Full Name | DR. VINCENT GERALD SACCO |
| Credential | DO |
| Practice Address |
2701 Holme Ave Ste 202 Philadelphia PA 19152-2029 |
| Practice Telephone | 2153339901 |
| Practice Fax Number | 2153339828 |
| Mailing Telephone | 2153339901 |
| Mailing Fax Number | 2153339828 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2014-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS007248L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 2298615 | 01 | |
| KEYSTONE | 0522649000 | 01 | |
| AMERIHEALTH | D798077001 | 01 |
| Street Address |
2701 HOLME AVE STE 202 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19152-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871592436 | Lee Anthony Celio | Internal Medicine | 2701 Holme Ave, Suite 206, Philadelphia, PA 19152-2029 | 2005-07-17 |
| 1558892570 | Nazareth Physician Services, Inc. | Urology | 2701 Holme Ave, Suite 101, Philadelphia, PA 19152-2029 | 2017-03-22 |
| 1598112518 | Nazareth Physician Services Inc | Internal Medicine | 2701 Holme Ave, Suite 100, Philadelphia, PA 19152-2029 | 2016-05-19 |
| 1447671243 | Nazareth Physicians Services, Inc | Orthopaedic Surgery | 2701 Holme Ave, Suite 100, Philadelphia, PA 19152-2029 | 2013-12-20 |
| 1518397116 | Nazareth Physician Services | Radiology | 2701 Holme Ave, Suite 302, Philadelphia, PA 19152-2029 | 2013-11-18 |
| 1861827305 | Comprehensive Renal Care, PC | Internal Medicine | 2701 Holme Ave, Ste 203, Philadelphia, PA 19152-2029 | 2013-09-03 |
| 1255686150 | Nazareth Physician Services, Inc. | Internal Medicine | 2701 Holme Ave, Suite 105, Philadelphia, PA 19152-2029 | 2012-07-17 |
| 1215268818 | Yelena Mushiyakh | Internal Medicine | 2701 Holme Ave, Philadelphia, PA 19152-2029 | 2010-01-20 |
| 1629230305 | Shamin Vania | Internal Medicine | 2701 Holme Ave, Suite 205, Philadelphia, PA 19152-2029 | 2008-06-25 |
| 1164540944 | Diane Robinson | Obstetrics & Gynecology | 2701 Holme Ave, Suite 305, Philadelphia, PA 19152-2029 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
| 1093298325 | Friendly Smile Dental Inc | Clinic/Center | 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 | 2018-09-12 |
| 1659857720 | Jaini Desai | Behavior Technician | 2982 Welsh Rd, Philadelphia, PA 19152 | 2018-07-12 |
| 1578066395 | Alexis Turbin | Physician Assistant | 8001 Roosevelt Blvd Ste 307, Philadelphia, PA 19152 | 2018-03-18 |
| 1215452982 | Nazareth Physician Services Inc | Social Worker | 2630 Holme Ave Ste 101, Philadelphia, PA 19152 | 2017-08-03 |
| 1437671955 | Anca & Leo LLC | Home Health | 9107 Revere St Ste 1, Philadelphia, PA 19152 | 2017-07-17 |
| 1407377435 | Erin O'neill Mcdermott | Nurse Practitioner | 1906 Tustin St., Philadelphia, PA 19152 | 2017-06-29 |
| 1700307766 | Vinayasree Shyam | Internal Medicine | 2601 Holme Avenue, Internal Medicine Residency, Philadelphia, PA 19152 | 2017-06-29 |
| 1497292833 | Joy & Comfort Home Care | Home Health | 2303 Stanwood St, Philadelphia, PA 19152 | 2017-01-24 |
| 1700320330 | Anna Lvovna Blinava | Pharmacist | 8330 Bustleton Ave Bells Market Pharmacy, Philadelphia, PA 19152 | 2016-12-16 |
| Find all providers in zip 19152 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1679131585 | Aria Health Physician Services | Family Medicine | 3998 Red Lion Rd Ste 204, Philadelphia, PA 19114-1440 | 2019-06-05 |
| 1689232597 | Aria Health Physician Services | Family Medicine | 5000 Frankford Ave Ste 1, Philadelphia, PA 19124-2620 | 2019-06-05 |
| 1174096432 | Temple University of The Commonwealth System of Higher Education | Family Medicine | 2300 W Master St Ste 109b, Philadelphia, PA 19121-4739 | 2019-01-09 |
| 1679043152 | Prevention Point Philadelphia | Family Medicine | 2913-15 Kensington Ave, Philadelphia, PA 19134-3016 | 2018-11-28 |
| 1700362266 | Wes Corporation | Family Medicine | 5000 N 13th St, Philadelphia, PA 19141-3533 | 2018-07-17 |
| 1376046508 | Philly Medical and Rehab Associates | Family Medicine | 6401 Rising Sun Ave, Philadelphia, PA 19111-5228 | 2018-03-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19152 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.