MR. MICHAEL FRACASSA (NPI# 1649293846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649293846 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL FRACASSA |
| Credential | DPM |
| Practice Address |
812 Coshocton Mount Vernon OH 43050 |
| Mailing Address |
Po Box 27940 3255 E Livingston Ave Columbus OH 43227 |
| Practice Telephone | 7403933338 |
| Practice Fax Number | 7403931138 |
| Mailing Telephone | 6142390399 |
| Mailing Fax Number | 6142396374 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2011-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 36002245 | OH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0560147 | 05 |
| Street Address |
812 COSHOCTON |
| City | MOUNT VERNON |
| State | OH |
| Zip Code | 43050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043739972 | Roxanne Renee Berry | Case Manager/Care Coordinator | Bhp 8402 Blackjack Rd, Mt Vernon, OH 43050 | 2017-09-12 |
| 1477079309 | Blaine Elizabeth Barr | Case Manager/Care Coordinator | 510 Mitchell Avenue, Mount Vernon, OH 43050 | 2017-08-22 |
| 1205351004 | Knox Community Hospital | Durable Medical Equipment & Medical Supplies | 1330 Coshocton Ave., Mount Vernon, OH 43050 | 2017-08-14 |
| 1568998722 | Jami Passwaters | Case Manager/Care Coordinator | 8402 Blackjack Road, Mount Vernon, OH 43050 | 2017-05-10 |
| 1962892661 | Mount Vernon Nh LLC | Assisted Living Facility | 1135 East Gambier Street, Mount Vernon, OH 43050 | 2015-02-02 |
| 1881009017 | Pamela Robinson | Licensed Practical Nurse | 10263 Tucker Road, Mount Vernon, OH 43050 | 2014-06-26 |
| 1356756837 | Charla Sue Johnson | Licensed Practical Nurse | 228 Delano Street, Mt Vernon, OH 43050 | 2014-06-24 |
| 1588076236 | Erica Ferrell | Licensed Practical Nurse | 701 West Burgess Street, Mount Vernon, OH 43050 | 2014-05-29 |
| 1386085637 | Genesis Rehab Services | Assisted Living Facility | 6918 Wigton Road, Mount Vernon, OH 43050 | 2013-07-16 |
| 1427310473 | Jonathan Titus Hardin | Family Medicine | 1330 Coschocton Road, Mount Vernon, OH 43050 | 2012-06-14 |
| Find all providers in zip 43050 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598996043 | Dorinda Amun King-adekunle | Podiatrist | 9 Harrison Street, Mount Vernon, NY 10550-3611 | 2009-07-31 |
| 1588725709 | Anthony Dimarino | Podiatrist | 319 N 7th Ave, Mount Vernon, NY 10550-1792 | 2006-12-12 |
| 1407827454 | Randolph Verity Anderson | Podiatrist | 120 S 15th St, Suite 2, Mount Vernon, WA 98274-4500 | 2006-01-29 |
| 1427049535 | Jonathan M Knee | Podiatrist | 514 Gramatan Ave, P4, Mount Vernon, NY 10552-3054 | 2005-10-31 |
| 1659369155 | Robert A Atwell | Podiatrist | 809 Coshocton Ave, Suite A, Mount Vernon, OH 43050-1900 | 2005-10-10 |
| 1437698842 | S Thomas Sehy Dpm LLC | Podiatrist | 209 Crossroads Pl, Suite 130, Mount Vernon, IL 62864-6545 | 2017-02-17 |
| 1104205103 | Dae Yong Lee | Podiatrist | 12 N 7th Ave, Mount Vernon, NY 10550-2026 | 2015-05-22 |
| 1144649856 | Tyler Wishau | Podiatrist | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2014-04-09 |
| 1568777175 | Nathan Allen Ullom | Podiatrist | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2010-08-09 |
| 1275720922 | Jay Mermelstein | Podiatrist | 105 Stevens Ave, Suite 301, Mount Vernon, NY 10550-2686 | 2007-09-26 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 43050 |
Please comment or provide details below to improve the information on MR. MICHAEL FRACASSA.
| 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.