Active NPIIndividual provider

Michael P Cacciola, PA-C

Physician Assistant, Surgical in Manchester, New Hampshire

NPI Number1164812418
Practice location
185 Queen City Ave, Elliot Orthopaedic Surgery, Manchester, NH 03101-7121
Fax
603-626-4686
Last updated
January 26, 2015

Michael P Cacciola is a Physician Assistant, Surgical based in Manchester, NH. Michael P Cacciola practices in Manchester, NH and has the professional credentials of PA-C. The NPI Number for Michael P Cacciola is 1164812418 and holds a License No. 1065 (NH). The current practice location address for Michael P Cacciola is 185 Queen City Ave, Elliot Orthopaedic Surgery, Manchester, NH 03101-7121 and can be reached out via phone at 603-625-1655 and via fax at 603-626-4686.

Provider Profile Details

NPI Number
1164812418
Provider Name
Michael P Cacciola
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
185 Queen City Ave, Elliot Orthopaedic Surgery, Manchester, NH 03101-7121
Phone Number
603-625-1655
Fax Number
603-626-4686
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
January 26, 2015
Last Update Date
January 26, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
185 Queen City Ave
Elliot Orthopaedic Surgery
Manchester, NH 03101-7121
Zip
03101-7121
Phone Number
603-625-1655
Fax Number
603-626-4686
Manchester, NH 03101Get directions →

Provider Business Mailing Address Details

Address
185 Queen City Ave
Elliot Orthopaedic Surgery
Manchester, NH 03101-7121
City
Manchester
State
NH
Zip
03101-7121
Phone Number
603-625-1655
Fax Number
603-626-4686

License Information

License Number
1065
License State
NH
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael P Cacciola, PA-C?

The NPI number of Michael P Cacciola, PA-C is 1164812418. It was assigned on January 26, 2015 and is currently active in the NPPES registry.

What is the specialty of Michael P Cacciola, PA-C?

Michael P Cacciola, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NH under license number 1065.

Where does Michael P Cacciola, PA-C practice?

The practice location is 185 Queen City Ave, Elliot Orthopaedic Surgery, Manchester, NH 03101-7121. The office can be reached at 603-625-1655 (phone) or 603-626-4686 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164812418 directly on the NPPES registry website.

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