Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Paul G Vaccaro Jr., MD

Individual provider Pediatrics Physician · NPI 1144284365

Dr. Paul G Vaccaro Jr., MD is a Pediatric Medicine in Radford, Virginia. Graduated from Louisiana State University School of Medicine in New Orleans in 1989, 37 years ago. Practices with Mountain Comprehensive Health Corporation, a 82-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
37
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
VA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 8th St
Radford, VA 24141-2426
Phone: (540) 639-5188
Fax: (540) 639-9215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 0101229097 (VA)

Record details

NPI number1144284365
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2006
Last updated in NPPESAugust 3, 2012

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 1989 (37 years in practice)
Group practice Mountain Comprehensive Health Corporation — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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