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MICHAEL J VADOVSKY PA
NPI 1104337450
Physician Assistant in Ellsworth Afb, SD

Active since October 13, 2017
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706(605) 385-3788 Get Directions Write a Review

NPPES record last updated: February 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2019, Oct 13, 2017 (2 updates tracked since 2017).

About Michael J Vadovsky Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL J VADOVSKY PA (NPI 1104337450) is an individual physician assistant in Ellsworth Afb, South Dakota and active in the NPI registry since October 2017. He maintains a secondary practice location in Fairfield.

NPPES Registry Identity

NPI1104337450
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL J VADOVSKYCredential: PA
Location Address2900 DOOLITTLE DREllsworth Afb, SD 57706
Mailing Address2900 Doolittle DrEllsworth Afb, SD 57706-4821
Phone(605) 385-3788
Sole ProprietorNo
Enumeration DateOctober 13, 2017
Last NPPES UpdateFebruary 5, 20192 updates tracked since enumeration
✔ NPI 1104337450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2900 DOOLITTLE DR, Ellsworth Afb, SD 57706
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Secondary Practice Location 1

Location 1101 Bodin CirFairfield, CA 94535-1809 · Phone (208) 590-9773

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CHRISTLE CELESTE USERA MSW/CSW-PIP
Social Worker (Clinical)
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-3656
28TH MEDGRP-ELLSWORTH
Clinic/Center (Military/U.S. Coast Guard Outpatient)
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-3311
DR. ERIC WALTER JORCZAK PHARM.D.
Pharmacist
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-3250
ANTHONY ZUNKER
Military Health Care Provider (Independent Duty Medical Technicians)
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-3002
MAXWELL TUO CHENG D.O.
General Practice
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-6700
DR. MICHAEL SCOTT BOGAARD O.D.
Optometrist
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-3281
DIANE RAMIREZ IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 835-3332
DR. LAUREN KAY MATTHEWS OD
Optometrist
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-3283

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Vadovsky's NPI number?

The NPI number for Michael Vadovsky is 1104337450. It was assigned to this individual provider in the NPPES registry on October 13, 2017.

Where is Michael Vadovsky located?

Michael Vadovsky practices at 2900 Doolittle Dr, Ellsworth Afb, SD 57706. The listed phone number is (605) 385-3788.

What is Michael Vadovsky's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Michael Vadovsky was last updated on February 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.