Mindi N Valuckas, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

C0002486 Issued in MD

Practice address

5401 Old Court Rd
Randallstown, MD 21133-5103

Phone

(410) 521-2200

NPI assigned

Mar 31, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/136fea15-c667-40bc-9ed2-b1115d62123b/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwest Hospital Center, Inc

  • Cardiovascular Disease Physician
  • Randallstown, MD
  • NPI 1437255734
  NPD (past)
• Northwest Hospital Center, Inc

  • Surgery Physician
  • Randallstown, MD
  • NPI 1447354790
  NPD (past)
• Northwest Hospital Center, Inc

  • Neurology Physician
  • Randallstown, MD
  • NPI 1467462028
  NPD (past)
• Northwest Hospital Center, Inc

  • Hospitalist Physician
  • Randallstown, MD
  • NPI 1508961988
  NPD (past)
• Northwest Hospital Center, Inc

  • Surgery of the Hand (Surgery) Physician
  • Randallstown, MD
  • NPI 1982708228
  NPD (past)
• Northwest Hospital Center, Inc.

  • Pulmonary Disease Physician
  • Randallstown, MD
  • NPI 1740290980
  NPD (past)
• Sinai Hospital of Baltimore Inc

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1255359782
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1053372664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 OLD COURT RD",
            "address_2": "ATTN: CREDENTIALING",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335103",
            "telephone_number": "410-601-5524",
            "fax_number": "410-601-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 OLD COURT RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335103",
            "telephone_number": "410-521-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALUCKAS",
        "first_name": "MINDI",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0002486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MEDICARE GROUP #",
            "identifier": "CN6601",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MEDICARE PROVIDER #",
            "identifier": "P00370888",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Unique Medical Supply, Inc.
• University of Maryland Orthopaedic Trauma Associates, PA
• University of Maryland Orthopaedics Associates, P.a.
• Unleashing Potential LLC
• Fatima Salman Uppal
• Barbara Jane Vaught, R.N.
• Emily Yaneiri Velasquez, PA-C
• Sierra Ashley Venable, LMSW, LGSW
• Fe Marie Ventura, PT
• Veroxy Health Inc

• Surgical Physician Assistant in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Surgical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.