MICHAEL P CACCIOLA (NPI# 1164812418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164812418 |
| Entity Type | Individual |
| Full Name | MICHAEL P CACCIOLA |
| Credential | PA-C |
| Practice Address |
185 Queen City Ave Elliot Orthopaedic Surgery Manchester NH 03101-7121 |
| Practice Telephone | 6036251655 |
| Practice Fax Number | 6036264686 |
| Mailing Telephone | 6036251655 |
| Mailing Fax Number | 6036264686 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1065 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
185 QUEEN CITY AVE ELLIOT ORTHOPAEDIC SURGERY |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03101-7121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992700702 | Stephen M. Wiener | Internal Medicine | 185 Queen City Ave, Manchester, NH 03101-7121 | 2005-06-17 |
| 1174140966 | Patrick John Hammer | Physical Therapist | 185 Queen City Ave, Manchester, NH 03101-7121 | 2020-06-29 |
| 1144870601 | Leah Hixon | Nurse Practitioner | 185 Queen City Ave, Manchester, NH 03101-7121 | 2019-09-17 |
| 1821565813 | Kathryn Swegles | Physician Assistant | 185 Queen City Ave, Manchester, NH 03101-7121 | 2018-10-27 |
| 1679086839 | Shannon Kelly Ward | Nurse Practitioner | 185 Queen City Ave, Manchester, NH 03101-7121 | 2017-11-09 |
| 1679085302 | Marialaina Abbene Tomolonis | Physician Assistant | 185 Queen City Ave, Manchester, NH 03101-7121 | 2017-11-03 |
| 1225547268 | Susan Marie Dionne | Registered Nurse | 185 Queen City Ave, Manchester, NH 03101-7121 | 2017-09-21 |
| 1649713827 | Emily M Miller | Physician Assistant | 185 Queen City Ave, Manchester, NH 03101-7121 | 2016-11-21 |
| 1598211948 | Jamie M. Gumb | Physician Assistant | 185 Queen City Ave, Manchester, NH 03101 | 2016-08-26 |
| 1447635263 | Laura Kathryn Radlinski | Physician Assistant | 185 Queen City Ave, Manchester, NH 03101 | 2015-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003320425 | Miranda Sherburne | Occupational Therapist | 470 Pine Street, Manchester, NH 03101 | 2017-11-21 |
| 1396266938 | Juliette W Daniels | Social Worker | 464 Chestnut Street, Child and Family Services, Manchester, NH 03101 | 2017-07-05 |
| 1851820450 | Samantha Ysabelle Kattiria | Specialist/Technologist | 39 Kosciuszko Street, Apt 4, Manchester, NH 03101 | 2017-06-07 |
| 1598121188 | Angelique Alicia Fortin | Counselor | 77 Pearl St., Manchester, NH 03101 | 2016-01-12 |
| 1578946786 | Reta Goldman | Counselor | 25 Lowell St Ste 208, Manchester, NH 03101 | 2015-07-07 |
| 1306239207 | Myra Jean Nikitas | Dental Hygienist | 97 West Merrimack Street, Manchester, NH 03101 | 2015-03-17 |
| 1902234586 | Judith Patrick Ronshagen | Pharmacist | 175 Queen City Avenue, Ste 1, Manchester, NH 03101 | 2013-10-17 |
| 1942566336 | Elizabeth Zavagnin | Specialist | 2 Wall St Ste 200, Manchester, NH 03101 | 2012-04-10 |
| 1538463088 | William Gerald Mccormick | Pharmacist | 175 Queen City Ave, Manchester, NH 03101 | 2010-12-27 |
| 1215241799 | Melissa Ann Dinoto | Counselor | 20 Market St., Manchester, NH 03101 | 2010-07-27 |
| Find all providers in zip 03101 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548743875 | Sarah Ann Soifert | Physician Assistant | 100 Mcgregor St, Manchester, NH 03102-3770 | 2018-09-12 |
| 1215458740 | Felicia F Mingrone | Physician Assistant | 71 Haynes St, Manchester, CT 06040-4131 | 2017-07-06 |
| 1598211948 | Jamie M. Gumb | Physician Assistant | 185 Queen City Ave, Manchester, NH 03101 | 2016-08-26 |
| 1770933541 | Alyssa Olsen | Physician Assistant | 71 Haynes St, Manchester, CT 06040-4131 | 2016-06-13 |
| 1356716302 | Mason Dunn-mcdonagh | Physician Assistant | 71 Haynes St, Manchester, CT 06040-4131 | 2015-12-02 |
| 1093195182 | Pamela Frappier | Physician Assistant | 71 Haynes St, Manchester, CT 06040-4131 | 2015-06-03 |
| 1134511595 | Nicole A. Wizeman | Physician Assistant | 71 Haynes St, Manchester, CT 06040-4131 | 2015-02-23 |
| 1053702845 | Andrea Lynch | Physician Assistant | 71 Haynes St, Manchester, CT 06040-4131 | 2015-02-14 |
| 1003228479 | Lauren Jean Welton | Physician Assistant | 100 Hitchcock Way, D-h Manchester, General Surgery, Manchester, NH 03104-4125 | 2014-05-20 |
| 1215358973 | Nicole Spataro | Physician Assistant | 71 Haynes St, Suite 1209, Manchester, CT 06040-4131 | 2013-12-26 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03101 |
Please comment or provide details below to improve the information on MICHAEL P CACCIOLA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.