Individual
DR. ANTHONY C VACCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1101 JACKSON ST STE A, GREENVILLE, OH 45331-1396
(375) 472-2129
(937) 547-3066
Mailing address
1100 REID PARKWAY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374
(765) 935-8802
(765) 983-3219
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036105971
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036105971
IL
207RP1001X
Pulmonary Disease Physician
02004966A
IN
207RP1001X
Pulmonary Disease Physician
036105971
IL
207RP1001X
Pulmonary Disease Physician
Primary
34.005077
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105971
—
IL
01
—
04132005
BCBS
IL
01
—
081851
HEALTH ALLIANCE
IL
01
—
264630
HEALTHLINK
IL
01
—
290014938
MEDICARE RAILROAD
IL
05
—
300046415
—
IN
Enumeration date
06/12/2006
Last updated
01/11/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us