Vincent J Paczkoskie, M. D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD066642L Issued in PA

Practice address

11277 Vernon Place
Suite 200
Meadville, PA 16335-3717

Phone

(814) 724-1252

Fax

(814) 333-8871

NPI assigned

Jan 26, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: vjp@oamed1435.srs-direct.com

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1053381442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11277 VERNON PLACE",
            "address_2": "SUITE 200",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353717",
            "telephone_number": "814-724-1252",
            "fax_number": "814-333-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11277 VERNON PLACE",
            "address_2": "SUITE 200",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353717",
            "telephone_number": "814-724-1252",
            "fax_number": "814-333-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACZKOSKIE",
        "first_name": "VINCENT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD066642L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017974780001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Oven, D.O.
• Oyler Internal Medicine, LLC
• Paul Oyler, M.D.
• PA Liberty St Emergency Physicians LLC
• Amy J Paczkoskie, MD
• Sharon Palotas, CRNP
• Andrea Papsun
• Constantin Parizianu, M.D.
• Park Avenue Rehab Center LLC
• Park Avenue Rehabilitation & Healthcare Center LLC

• Orthopaedic Surgery Physician in Meadville, PA
• Providers in Meadville, PA by specialty
• Orthopaedic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.