Provider Demographics
NPI:1871683748
Name:VECCHIONE, DONNA SUE (MD)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:SUE
Last Name:VECCHIONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24701 EUCLID AVE
Mailing Address - Street 2:THIRD FLOOR BILLING SERVICES
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-1714
Mailing Address - Country:US
Mailing Address - Phone:440-816-5500
Mailing Address - Fax:440-816-5514
Practice Address - Street 1:7215 OLD OAK BLVD STE A314
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44130-3340
Practice Address - Country:US
Practice Address - Phone:440-816-5500
Practice Address - Fax:440-816-5514
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35056054208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0677263Medicaid
OH0662698Medicare PIN
E36627Medicare UPIN