Richard J Vecellio, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

102715 Issued in NC

Practice address

119 Market Place Ave Ste D
Mooresville, NC 28117-9157

Phone

(704) 801-9140

Fax

(704) 801-9141

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2216/brand/1/csg/1/fhir/r4

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.

• Fox Mountain Emergency Physicians

  • Emergency Medicine Physician
  • Mooresville, NC
  • NPI 1477867752
  NPD (past)
• North Carolina Em-I Medical Services PC

  • Physician Assistant
  • Mooresville, NC
  • NPI 1336454156
  NPD (past)
• Waterside Dermatology and Laser Center PLLC

  • Dermatology Physician
  • Denver, NC
  • NPI 1477782076
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1124072301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602148",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602148",
            "telephone_number": "704-801-9140",
            "fax_number": "704-801-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MARKET PLACE AVE STE D",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179157",
            "telephone_number": "704-801-9140",
            "fax_number": "704-801-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VECELLIO",
        "first_name": "RICHARD",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "102715",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102715",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124072301",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "970022547",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Elizabeth Vanwassenhove, OTR L
• Vapourmd, P.a.
• Ava Jessella Sabine Vaughan, LPC
• Brittany Vaughan
• Paul D. Veach, LMFT, LCAS
• Amy Vega
• Kristen Flanagan Vehec, M.A. CCC-SLP
• Jennifer Pamela Veliz-Gomez, LCMHCA
• Kwency Verity
• Christine Verolme

• Medical Physician Assistant in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.