Micah Todd Vasko, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MPA3687PA Issued in SC

Practice address

1871 Savage Rd
Charleston, SC 29407-4726

Phone

(843) 766-6308

Fax

(866) 533-4473

NPI assigned

Sep 16, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Musc Affiliate Physicians

  dba MUSC Affiliate Physicians Spec

  • Psychiatry Physician
  • Charleston, SC
  • NPI 1700465648
  Medicare reassignment NPD
• Plantation Pediatrics, LLC

  • Pediatrics Physician
  • Charleston, SC
  • NPI 1427415298
  NPD (past)
• University Medical Associates

  dba MUSC Physicians

  • Pediatric Allergy/Immunology Physician
  • Charleston, SC
  • NPI 1902323504
  NPD (past)

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1275149239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 SAVAGE RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074726",
            "telephone_number": "843-766-6308",
            "fax_number": "866-533-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 SAVAGE RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074726",
            "telephone_number": "843-766-6308",
            "fax_number": "866-533-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASKO",
        "first_name": "MICAH",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-16",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "MPA3687PA",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "MPA3687PA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1871 Savage Rd",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294074726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Richard Varrone, MD
• Alison M Varvaro, RN
• Joseph Tyler Vasas, MD
• Jacqueline Eberhard Vasko, AUD
• Julia Tyler Vasko, PA-C
• Todd R Vasko, MD
• Elizabeth Pahygiannis Vass, AU.D.
• Angela Nicole Vaughan, M.ED. BCBA
• Joel Fuller Vaughan, MD
• Joseph Peyton Vaughan, MD

• Pediatrics Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.