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

Mark G Colucci, PA-C

Individual provider Surgical Physician Assistant · NPI 1619906971

Mark G Colucci, PA-C is a Physician Assistant in East Falmouth, Massachusetts. Qualified in 1999, 27 years ago. Practices with Martha's Vineyard Hospital Inc, a 142-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
27
Licensed in
MA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

17 Sidewinder Rd
East Falmouth, MA 02536-4756
Phone: (508) 685-9038
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1101 (MA)

Record details

NPI number1619906971
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESMarch 15, 2022
Certification dateMarch 15, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Martha'S Vineyard Hospital Inc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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