Active NPI
William Vascik, PA-C, MPAS, MS, ATC
- Physician Assistant
- Fort Myers, FL
National Provider Identifier
1639355373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9106354
- Practice address
- 3210 Cleveland Ave
#100
Fort Myers, FL 33901-7180 - Phone
- (239) 936-6778
- NPI assigned
- Jan 11, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9106354 | FL | Primary |
Addresses
Primary practice location
3210 Cleveland Ave
#100
Fort Myers, FL 33901-7180
Mailing address
3210 Cleveland Ave
#100
Fort Myers, FL 33901-7180
Phone (239) 936-6778
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9106354 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Community Medcine Inc | Current | Accepting new patients | |
| Upmc Community Medicine, Inc | Current | Accepting new patients |
Locations
875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622
339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762
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.
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1558976092
-
- Family Medicine Physician
- Hermitage, PA
- NPI 1023806676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1639355373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3210 CLEVELAND AVE",
"address_2": "#100",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339017180",
"telephone_number": "239-936-6778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3210 CLEVELAND AVE",
"address_2": "#100",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339017180",
"telephone_number": "239-936-6778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASCIK",
"first_name": "WILLIAM",
"credential": "PA-C, MPAS, MS, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-11",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9106354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
- Matthew Varner, D.C.
- Susan Denise Varney, L.M.T., N.C.T.M.B.
- Elizabeth Varona Martin, APRN
- Vivian Varona Rodriguez
- Sophia Vartdal, M.A. CCC-SLP
- Vascular & General Surgical Consultants, LLC
- Vascular & General Surgical Specialists of SW Florida
- Jitka Vasek, MD
- Amanda Vasil
- Veronica Teresa Vasquez-Bynum, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.