Active NPI
Julia Tyler Vasko, PA-C
- Physician Assistant
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1850 Sam Rittenberg Blvd
Charleston, SC 29407-4936 - Phone
- (843) 793-6093
- NPI assigned
- Jul 1, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1850 Sam Rittenberg Blvd
Charleston, SC 29407-4936
Mailing address
1850 Sam Rittenberg Blvd
Charleston, SC 29407-4936
Phone (843) 793-6093
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Medical University of South Carolina College of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1115 Savannah Hwy
Charleston, SC 29407-7805
Phone (843) 300-3355
1675 N Main St
Summerville, SC 29486-7847
Phone (843) 285-2169
1850 Sam Rittenberg Blvd
Charleston, SC 29407-4936
Phone (843) 793-6093
2863 N Hwy 17
Mt Pleasant, SC 29466-8962
Phone (843) 606-3911
8720 Dorchester Rd
North Charleston, SC 29420-7303
Phone (843) 552-3629
8740 Rivers Ave
North Charleston, SC 29406-9211
Phone (843) 377-2406
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5542 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medcare Express - North Charleston LLC | Current | Accepting new patients | |
| Charleston Carenow Urgent Care, LLC | Past | Accepting new patients |
Locations
1115 Savannah Hwy
Charleston, SC 29407
Phone (843) 300-3355
1850 Sam Rittenberg Blvd
Ste B
Charleston, SC 29407
Phone (843) 576-5246
1850 Sam Rittenberg Blvd
Charleston, SC 29407
Phone (843) 576-5246
10136 Two Notch Rd
Ste 104
Columbia, SC 29229
Phone (803) 509-7570
7418 Garners Ferry Rd
Columbia, SC 29209
Phone (803) 509-6310
2863 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 469-6803
8740 Rivers Ave
North Charleston, SC 29406
Phone (843) 337-2406
8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629
8720 Dorchester Rd
Ste 1201
North Charleston, SC 29420
Phone (843) 552-3629
3816 Highway 17 S
North Myrtle Beach, SC 29582
Phone (843) 272-1411
201 Business Center Dr
Pawleys Island, SC 29585
Phone (843) 314-3209
301 E Wood St
Spartanburg, SC 29303
Phone (843) 576-5246
1675 N Main St
Summerville, SC 29486
Phone (843) 285-2169
110 Medical Cir
Ste A
West Columbia, SC 29169
Organizations & group practices 2
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.
-
dba Medcare Urgent Care
- Urgent Care Clinic/Center
- Charleston, SC
- NPI 1457579617
-
- Urgent Care Clinic/Center
- Goose Creek, SC
- NPI 1093248288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1467297408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 SAM RITTENBERG BLVD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074936",
"telephone_number": "843-793-6093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 SAM RITTENBERG BLVD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074936",
"telephone_number": "843-793-6093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASKO",
"first_name": "JULIA",
"middle_name": "TYLER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-01",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.