FRANK MICUCCI


Address: 624 S Roosevelt Ave, Suite 101, Burlington, IA 52601-1668
Phone: 3197684320

FRANK MICUCCI (NPI# 1083628721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083628721
Entity Type Individual
Full Name FRANK MICUCCI
Credential MPA-C
Practice Address 624 S Roosevelt Ave
Suite 101
Burlington
IA 52601-1668
Practice Telephone 3197684320
Mailing Telephone 3197684320
Enumeration Date 2006-07-28
Last Update Date 2016-02-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IA RH MEDICARE 168951 01
IA MIDLANDS 4554 01
IA RR MEDICARE 970014324 01
IA WELLMARK BLUE CROSS BLUE 17518 01

Office Location

Street Address 624 S ROOSEVELT AVE
SUITE 101
City BURLINGTON
State IA
Zip Code 52601-1668

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346290996 Heritage Medical Equipment and Supplies Inc Prosthetic/Orthotic Supplier 624 S Roosevelt Ave, Burlington, IA 52601 2006-05-12
1689791972 Heritage Medical Equipment and Supplies Durable Medical Equipment & Medical Supplies 624 S Roosevelt Ave, Burlington, IA 52601 2007-03-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033748017 Quentin Eugene Hill Technician 528 South 7th St, Burlington, IA 52601 2020-04-02
1619320645 Alisa Nicole Smith Social Worker 409 N. 4th St., Burlington, IA 52601 2016-07-14
1568870020 Denise Reichman Registered Nurse 2509 Sunrise Ln, Burlington, IA 52601 2014-07-29
1891131355 Ainsley Joyce Fedler Speech-Language Pathologist 9302 Glenmark Drive, Burlington, IA 52601 2013-05-10
1851640932 Melissa A Rupp Optometrist 1035 Lawrence Drive, Suite 106, Burlington, IA 52601 2012-09-05
1508123068 Advanced Home Health Care Home Health 550 S. Roosevelt, Burlington, IA 52601 2012-04-20
1144591926 David Eric Johnson Pharmacist 201 South Central, Burlington, IA 52601 2012-01-25
1548537525 Michael James Colgan Pharmacist 3245 Agency Street, Burlington, IA 52601 2011-11-19
1881971190 Elaine Frances Lehman Counselor 724 North 3rd St., Burlington, IA 52601 2011-11-15
1992086508 Jacqueline Gwen Robbins Counselor 4715 Sullivan Slough Road, Burlington, IA 52601 2011-09-09
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598399743 Samantha Pandick Vaillancourt Physician Assistant 1236 Huffman Mill Rd Ste 100, Burlington, NC 27215-8700 2020-02-26
1770116576 Mh Medical Services, PC Physician Assistant 1737 Whites Kennel Rd, Burlington, NC 27215-8977 2020-02-20
1578113908 Avani Shah Physician Assistant 41 Burlington Mall Road 7 West Neurology Dept, Burlington, MA 01805-2015 2019-09-17
1174087548 Lindsay Elaine Damaso Physician Assistant 6 Frothingham Rd, Burlington, MA 01803-4002 2019-01-30
1902375744 San Michael Kyte Physician Assistant 104 Huffman Mill Rd Ste 100, Burlington, NC 27215-5113 2018-11-22
1871010074 Adriana M Pollak Physician Assistant 1041 Kirkpatrick Rd Ste 200, Burlington, NC 27215-8066 2017-08-28
1679920581 Jenna Bruno Physician Assistant 8 Pontos Ave, Burlington, MA 01803-2127 2016-05-20
1770963332 Christopher Walden Physician Assistant 2016 Wall Ave, Burlington, NJ 08016-3616 2015-06-08
1447655568 Bushra Khan Physician Assistant 1174 Kaye Ct, Burlington, NJ 08016-2266 2014-10-31
1831527191 Autumn Kari Konz Physician Assistant 1234 Huffman Hill Road, Burlington, NC 27215-8700 2013-10-24
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Competitor

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City BURLINGTON
Zip Code 52601

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Dataset Information

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.

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