Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael William Mariscalco, MD

Individual provider Orthopaedic Surgery Physician · NPI 1912176140

Dr. Michael William Mariscalco, MD is an Orthopedic Surgery in Prince George, Virginia. Graduated from Wright State University Boonshoft School of Medicine in 2007, 19 years ago. Practices with Orthovirginia Inc, a 570-clinician group and accepts Medicare assignment. Licensed in Ohio and Virginia.

Years since qualifying
19
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
OH, VA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4710 Puddledock Rd Ste 100
Prince George, VA 23875-1237
Phone: (804) 732-0095
Fax: (804) 732-0055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 0101254090 (VA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 57.012988 (OH)

Record details

NPI number1912176140
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 21, 2008
Last updated in NPPESSeptember 12, 2020
Certification dateSeptember 12, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Orthovirginia Inc — 570 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Prince George