Mark Clayton Vaccaro, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

20489 Issued in OK

Practice address

6304 Bryant CT
Oklahoma City, OK 73122-7000

Phone

(405) 722-8052

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Radiology Consultants, PC

  • Diagnostic Radiology Physician
  • Oklahoma City, OK
  • NPI 1528000288
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1972551851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6304 BRYANT CT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731227000",
            "telephone_number": "405-722-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6304 BRYANT CT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731227000",
            "telephone_number": "405-722-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACCARO",
        "first_name": "MARK",
        "middle_name": "CLAYTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "20489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VA Hospital
• VA Hospital
• VA Hospital and Clinics
• VA Medical Center
• VA Medical Center-Path and Lab Med Service
• Bal G Vad, M.D.
• Lata B Vad, M.D.
• Elsa S Vadakekut, D.O.
• Vadakepat Ramgopal M D Inc
• Scott Andrew Vadala, MD

• Diagnostic Radiology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Diagnostic Radiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.