Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104337450 Individual Practitioner Male Practitioner

Michael J Vadovsky , PA

Physician Assistant • Ellsworth Afb, SD

Professional Overview & Biography Verified Profile Summary

Michael Vadovsky, PA is a registered healthcare professional specializing in Physician Assistant in Ellsworth Afb, SD. Practice services are available at 2900 DOOLITTLE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2900 Doolittle Dr

Ellsworth Afb, SD 57706

Telephone 6053853788
Associated Practice Facility / Clinic
🏢 28th Medgrp-Ellsworth Facility NPI 1023091642

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ellsworth Afb, SD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.3 Yrs
State Avg: 16.3 Yrs
Regional Practice Density
7 Specialists

Practicing in Ellsworth Afb, SD (685 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

101 Bodin Cir

Fairfield, CA 945351809

Phone: 2085909773

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Christle Usera , MSW, CSW-PIP

Social Worker - Clinical

NPI 1013135524

Master of Social Work, CSWPIP

NPI 1033422696

Doctor of Pharmacy (Pharm.D.)

Anthony Zunker

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1073039889
Dr. Maxwell Cheng , DO

General Practice

NPI 1083363683

Doctor of Osteopathic Medicine (D.O.)

NPI 1083607535

Doctor of Optometry

Diane Ramirez , IDMT

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1104050624

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location February 05, 2019

Registered at 2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706 (Tel: 6053853788)

📍
Updated Business Mailing Address February 05, 2019

Registered at 2900 DOOLITTLE DR, ELLSWORTH AFB, SD 577064821

👤
Provider Name / Credentials Updated February 05, 2019

Recorded as MICHAEL VADOVSKY, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2019

Physician Assistant

NPI Profile Active October 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 13, 2017

Registered at 101 BODIN CIR, FAIRFIELD, CA 945351809 (Tel: 2085909773)

📍
Updated Business Mailing Address October 13, 2017

Registered at 101 BODIN CIR, FAIRFIELD, CA 945351809

👤
Provider Name / Credentials Updated October 13, 2017

Recorded as MICHAEL VADOVSKY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration October 13, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Michael Vadovsky. Be the first to share your experience!

Sign in to leave a review for Michael Vadovsky

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1104337450
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2017
Last Update: February 05, 2019
Sole Proprietor: No

Mailing Address

2900 Doolittle Dr

Ellsworth Afb, SD 577064821

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.