DR. MICHAEL JOSEPH VACCHIO (NPI# 1578907143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578907143 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JOSEPH VACCHIO |
| Credential | M.D. |
| Practice Address |
1320 Broadcasting Rd Ste 200 Wyomissing PA 19610-3222 |
| Practice Telephone | 6103728995 |
| Mailing Telephone | 6103728995 |
| Mailing Fax Number | 6106855984 |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2020-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 0101266282 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PA STATE LICENSE | MD471733 | 01 |
| VA | 1578907143 | 05 |
| Street Address |
1320 BROADCASTING RD STE 200 |
| City | WYOMISSING |
| State | PA |
| Zip Code | 19610-3222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225506298 | Melissa Anne Herbein | Nurse Practitioner | 1320 Broadcasting Rd Ste 200, Wyomissing, PA 19610-3222 | 2018-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154944486 | Fresenius Medical Care Wyomissing, LLC | Clinic/Center | 656 Berkshire Blvd, Wyomissing, PA 19610 | 2020-05-21 |
| 1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
| 1932742772 | Kristin Marie Lapp | Social Worker | 1120-c Hobart Ave, Wyomissing, PA 19610 | 2019-10-24 |
| 1396302410 | Susan Cohick | Occupational Therapy Assistant | The Center for Pediatric Therapy Inc, 9 Bristol Ct, Wyomissing, PA 19610 | 2019-05-23 |
| 1518475953 | Safe Care Express Pllc | Clinic/Center | 1802 State Hill Rd, Wyomissing, PA 19610 | 2018-01-19 |
| 1346779733 | Eric Angstadt | Dentist | 85 Commerce Drive, Wyomissing, PW 19610 | 2017-06-08 |
| 1497209761 | Keystone Orthopaedic Specialists,llc | Durable Medical Equipment & Medical Supplies | 2607 Keiser Blvd # 200, Wyomissing, PA 19610 | 2016-08-04 |
| 1104270875 | Heather Claudette Meyer | Hearing Instrument Specialist | 50 Berkshire Ct Ste 250, Wyomissing, PA 19610 | 2016-04-19 |
| 1396125050 | Courtney B. Pursell | Counselor | 716 N. Park Rd., Wyomissing, PA 19610 | 2015-06-08 |
| 1760892012 | Nicole M Robb | Counselor | 17 Evans Ave, Wyomissing, PA 19610 | 2014-05-07 |
| Find all providers in zip 19610 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
| 1396742623 | Center for Urologic Care of Berks Co PC | Urology | 1320 Broadcasting Rd, Suite 200, Wyomissing, PA 19610-3222 | 2005-07-01 |
| 1255497665 | Shawn E White | Urology | 1320 Broadcasting Rd, Ste 200, Wyomissing, PA 19610-3222 | 2006-12-29 |
| 1558352161 | James R. Monath | Urology | 1320 Broadcasting Rd, Suite 200, Wyomissing, PA 19610-3222 | 2005-11-02 |
| 1720077548 | Constantine F Harris | Urology | 1320 Broadcasting Rd, Ste 200, Wyomissing, PA 19610-3222 | 2005-10-14 |
| 1730173170 | Jay B Miller | Urology | 1320 Broadcasting Rd, Ste 200, Wyomissing, PA 19610-3222 | 2005-08-31 |
| 1891796322 | Stephen A Sihelnik | Urology | 1320 Broadcasting Rd, Ste 200, Wyomissing, PA 19610-3222 | 2005-08-09 |
| 1487654877 | John M Henry | Urology | 1320 Broadcasting Rd, Ste 200, Wyomissing, PA 19610-3222 | 2005-07-28 |
| 1154320224 | Joseph V Leoni | Urology | 1320 Broadcasting Rd, Ste 200, Wyomissing, PA 19610-3222 | 2005-07-20 |
| 1962400853 | Alan N Fleischer | Urology | 1320 Broadcasting Rd, Ste 200, Wyomissing, PA 19610-3222 | 2005-07-13 |
| Find all providers in WYOMISSING | ||||
| City | WYOMISSING |
| Zip Code | 19610 |
Please comment or provide details below to improve the information on DR. MICHAEL JOSEPH VACCHIO.
| 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.