Vacco LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

VACCO LLC

Practice address

815 W Broad St Ste 320
Columbus, OH 43222-1478

Phone

(614) 221-0222

Fax

(614) 221-9222

NPI assigned

Aug 8, 2017

Organization subpart

No

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

Authorized official

Name

Nicholas A Stoycheff, MDNPI 1285755116

Title

Physician/Medical Director

Phone

(614) 221-0222

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Vacco LLC Dba Vacco Ambulatory Surgery CenterCCN 36C0001310

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas Anthony Stoycheff, M.D.

  • Nephrology Physician
  • Grove City, OH
  • NPI 1285755116
  Medicare reassignment NPD Authorized official
• Jerry W Chellini Jr., D.O.

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1740227008
  Medicare reassignment NPD
• Ravish Shah, MD

  • Nephrology Physician
  • Grove City, OH
  • NPI 1285856583
  Medicare reassignment NPD
• Robin Shah, D.O. MBA

  • Nephrology Physician
  • Columbus, OH
  • NPI 1720344633
  Medicare reassignment NPD

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1578088787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 W BROAD ST STE 320",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221478",
            "telephone_number": "614-221-0222",
            "fax_number": "614-221-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W BROAD ST STE 320",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221478",
            "telephone_number": "614-221-0222",
            "fax_number": "614-221-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VACCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "STOYCHEFF",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "614-221-0222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "323660",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Vacca, MA, LICDC-CS
• Luis Vaccarello, M.D.
• William Vaccariello
• Claudia Angelina Vaccaro, MT-BC
• Patrick S. Vaccaro, M.D.
• Theresa Lynn Vacheresse, DPM
• Robin A. Vachon-Kraut, APRN.CNP
• Lindsay Ann Vachon
• Charlie Robert Vachris, L.I.S.W.
• Vacmi Extended Family Inc.

• Ambulatory Surgical Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.