Active NPI
William Vasios, PA
- Physician Assistant
- Cary, NC
National Provider Identifier
1750382016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 570 New Waverly PL
Suite 210
Cary, NC 27511-7405 - Phone
- (919) 859-3373
- Fax
- (919) 859-3127
- NPI assigned
- Aug 9, 2005
- 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 | NC | Primary |
Addresses
Primary practice location
570 New Waverly PL
Suite 210
Cary, NC 27511-7405
Mailing address
PO Box 756
Holly Springs, NC 27540-0756
Phone (919) 859-3373
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D6395 | Other | NC | MEDCOST |
| P00320509 | Other | NC | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000103604 | NC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186963200000",
"number": "1750382016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 756",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275400756",
"telephone_number": "919-859-3373",
"fax_number": "919-859-3127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 NEW WAVERLY PL",
"address_2": "SUITE 210",
"city": "CARY",
"state": "NC",
"postal_code": "275117405",
"telephone_number": "919-859-3373",
"fax_number": "919-859-3127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASIOS",
"first_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2007-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "D6395",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00320509",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.