MARK CLAYTON VACCARO (NPI# 1972551851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972551851 |
| Entity Type | Individual |
| Full Name | MARK CLAYTON VACCARO |
| Credential | MD |
| Practice Address |
6304 Bryant Ct Oklahoma City OK 73122-7000 |
| Practice Telephone | 4057228052 |
| Mailing Telephone | 4057228052 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2008-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
20489 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
6304 BRYANT CT |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73122-7000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765959 | Cullen Crawford | Behavior Technician | 4704 Nw 40th, Oklahoma City, OK 73122 | 2020-03-13 |
| 1700446259 | T&r Services, Inc. | In Home Supportive Care | 3844 N. Macarthur Blvd, Warr Acres, OK 73122 | 2019-06-17 |
| 1962997072 | Stephen Vaughn Johnson | Case Management | 5910 Nw 58th Steet, Oklahoma City, OK 73122 | 2018-06-30 |
| 1598279374 | Sikirat Iyanda | Case Manager/Care Coordinator | 5317 Willow Cliff Rd Apt 137, Okc, OK 73122 | 2017-11-30 |
| 1841650827 | Victoria Ekwueme | Counselor | 6421 Nw 36th Street, Oklahoma City, OK 73122 | 2016-03-03 |
| 1861760837 | John Bernard Gilleran | Anesthesiology | 4940 Nw 31st St, Oklahoma City, OK 73122 | 2011-12-06 |
| 1356623482 | Jerry Skariah George | Pharmacist | 5901 Nw 39th Expressway, Warr Acres, OK 73122 | 2011-09-14 |
| 1306134366 | Chelsea Nicole Haller | Physical Therapist | 5604 N.w. 41st, Suite 220, Oklahoma City, OK 73122 | 2011-07-12 |
| 1972824886 | Katrina Renee Klohn | Counselor | 5612 Nw 62nd St., Okc, OK 73122 | 2010-06-15 |
| 1205039377 | Larry L Winnard | Specialist/Technologist | 5300 N. W. 50th, Okla. City, OK 73122 | 2007-06-07 |
| Find all providers in zip 73122 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053601237 | Anjali Lal | Radiology | 940 Ne 13th St Ste 4g4250, Oklahoma City, OK 73104 | 2011-04-08 |
| 1295045433 | Oliver A. Cvitanic Md, PC | Radiology | 230 Sw 80th St, Oklahoma City, OK 73139-8107 | 2010-10-20 |
| 1356652515 | Franklin C. Nwoke | Radiology | 1325 N Walker Ave Apt 428, Oklahoma City, OK 73103-6411 | 2010-06-23 |
| 1215257225 | Michael P Murphy | Radiology | 13108 Red Cedar Cir, Oklahoma City, OK 73131-1860 | 2010-06-02 |
| 1568787489 | Mohamed Nabil Attaya | Radiology | 1100 North Lindsay, University of Oklahoma, Oklahoma City, OK 73104 | 2010-04-03 |
| 1396876025 | Lawrence Churng-shyuh Fan | Radiology | 5300 W Memorial Rd, Apt. 22p, Oklahoma City, OK 73142 | 2007-03-07 |
| 1780762195 | Christian Leigh Koopman | Radiology | 940 N.e. 13th St, Garrison Tower, Suite 4g4250, Radiological Sciences, Oklahoma City, OK 73104 | 2006-11-02 |
| 1891886354 | Mobile X-ray Services Inc | Radiology | 8200 N Classen Blvd, Suite 123, Oklahoma City, OK 73114-2128 | 2006-09-27 |
| 1538267208 | Oliver Anthony Cvitanic | Radiology | 9901 S Pennsylvania Ave, Oklahoma City, OK 73159-6920 | 2006-09-20 |
| 1972522845 | T.h. Molskness D.o. | Radiology | 11205 Greenbriar Chase St, Oklahoma City, OK 73170-3218 | 2006-07-19 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73122 |
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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.